CLIA lab

CLIA 05D0887280: Greenville Rancheria Tribal

Greenville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0887280 belongs to Greenville Rancheria Tribal in Greenville, CA.

Certificate of Waiver, effective September 21, 2026, expires September 20, 2028.

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
September 21, 2026
Certificate expiration
September 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 8, 1994
Facility type
Federally qualified health center
Ownership (control type)
Other
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
05D0887280
Lab name
Greenville Rancheria Tribal
Additional name
Health Program
Address
410 Main Street, Greenville, CA 95947
Phone
(530) 284-6135
Fax
(530) 727-9602

Annual test volume the lab reported

Waived tests
180

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Greenville, CA

Related

Questions

What is the CLIA number for Greenville Rancheria Tribal in Greenville?

05D0887280, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Greenville Rancheria Tribal hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0887280 expire?

The CMS file lists September 20, 2028 as the certificate expiration date; the certificate took effect September 21, 2026.

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