CLIA lab
CLIA 05D0890381: Mule Creek State Prison
Ione, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0890381 belongs to Mule Creek State Prison in Ione, CA.
Certificate of Waiver, effective August 17, 2026, expires August 16, 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
- August 17, 2026
- Certificate expiration
- August 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 1994
- 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
- 05D0890381
- Lab name
- Mule Creek State Prison
- Address
- 4001 Highway 104, Ione, CA 95640
- Phone
- (209) 781-6372
- Fax
- (209) 274-5130
Annual test volume the lab reported
- Waived tests
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Mule Creek State Prison in Ione?
05D0890381, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mule Creek State Prison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0890381 expire?
The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.