CLIA lab
CLIA 05D0914600: Greenville Rancheria
Red Bluff, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0914600 belongs to Greenville Rancheria in Red Bluff, CA.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 1996
- 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
- 05D0914600
- Lab name
- Greenville Rancheria
- Address
- 1425 Montgomery Road, Red Bluff, CA 96080
- Phone
- (530) 528-8600
- Fax
- (530) 690-6023
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Crown Medical ClinicCertificate of Waiver, Physician office05D2258659
- Deb0rah A Sutcliffe MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0957407
- Dignity Health Lassen Medical ClinicCertificate of Registration, Community clinic05D0618474
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2130204
- Dignity Health Women's Health ServicesCertificate of Waiver, Rural health clinic05D2134901
- Dignity Health Wound Healing &Certificate of Waiver, Other05D2100317
- Docs Medical Group IncCertificate of Waiver, Physician office05D2005883
- Frontier Village FamilyCertificate of Waiver, Rural health clinic05D0952805
- Lane ChiropracticCertificate of Waiver, Other practitioner05D2084834
Related
Questions
What is the CLIA number for Greenville Rancheria in Red Bluff?
05D0914600, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Greenville Rancheria hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0914600 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.