CLIA lab
CLIA 05D0879984: Rideout Memorial Hosp Ancillary
Marysville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0879984 belongs to Rideout Memorial Hosp Ancillary in Marysville, CA.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 1993
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- 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
- 05D0879984
- Lab name
- Rideout Memorial Hosp Ancillary
- Additional name
- Testing
- Address
- 726 4th St, Marysville, CA 95901
- Phone
- (530) 749-4451
- Fax
- (530) 749-6639
Annual test volume the lab reported
- Waived tests
- 33,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Marysville, CA
- Adventist Health and RideoutCertificate of Accreditation, Hospital05D0616890
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973367
- Chuk Ndulue MDCertificate of Waiver, Physician office05D0947537
- Cvs/Pharmacy #09691Certificate of Waiver, Pharmacy05D2269056
- Freedom Home HealthCertificate of Waiver, Home health agency05D2080721
- Fremont - Rideout Cancer CenterCertificate of Waiver, Other05D2098303
- Fremont Rideout Health Group Cardiac RehabCertificate of Waiver, Ancillary test site05D1106155
- Harmony Health Medical ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0960808
- Jasbir S Kang, MD & Sanjiv Midha, MDCertificate of Waiver, Rural health clinic05D2024800
- Marysville Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D1077522
Related
Questions
What is the CLIA number for Rideout Memorial Hosp Ancillary in Marysville?
05D0879984, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rideout Memorial Hosp Ancillary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0879984 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.