CLIA lab
CLIA 05D0896151: Pleasant Valley State Prison
Coalinga, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0896151 belongs to Pleasant Valley State Prison in Coalinga, CA.
Certificate of Waiver, effective June 11, 2026, expires June 10, 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
- June 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 1995
- 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
- 05D0896151
- Lab name
- Pleasant Valley State Prison
- Additional name
- Health Service Laboratory
- Address
- 24863 W Jayne Ave, Ctc Laboratory, Coalinga, CA 93210
- Phone
- (559) 935-4900
- Fax
- (559) 935-7081
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 Coalinga, CA
- Adventist Health ReedleyCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D1017064
- Coalinga DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2054371
- Coalinga Medical Center Rural Health ClinicsCertificate of Waiver, Rural health clinic05D2250777
- Coalinga Regional Medical Center LaboratoryCertificate of Compliance, Hospital05D0692722
- Coalinga Valley Health Clinics IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0937926
- Dept of State Hospitals - CoalingaCertificate of Compliance, Hospital05D1045165
- Walgreens #10481Certificate of Waiver, Pharmacy05D2256671
- West Hills Medical Group, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0938626
Related
Questions
What is the CLIA number for Pleasant Valley State Prison in Coalinga?
05D0896151, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pleasant Valley State Prison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0896151 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.