CLIA lab
CLIA 05D0868967: Corcoran State Prison CTC Lab
Corcoran, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0868967 belongs to Corcoran State Prison CTC Lab in Corcoran, CA.
Certificate of Waiver, effective January 12, 2025, expires January 11, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 12, 2025
- Certificate expiration
- January 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Prison
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0868967
- Lab name
- Corcoran State Prison CTC Lab
- Address
- 4001 King Ave, Corcoran, CA 93212
- Phone
- (559) 992-8800
- Fax
- (559) 992-6196
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Corcoran, CA
- Adventist Health-ReedleyCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D2057558
- Csatf/Sp LaboratoryCertificate of Waiver, Prison05D0935434
- Shayam Bhaskar MD IncCertificate of Waiver, Rural health clinic05D2091435
- United Health Centers of the SanCertificate of Waiver, Federally qualified health center05D2304710
Related
Questions
What is the CLIA number for Corcoran State Prison CTC Lab in Corcoran?
05D0868967, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Corcoran State Prison CTC Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0868967 expire?
The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.