CLIA lab

CLIA 05D0915060: Santa Ysabel Community Health

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

CLIA number 05D0915060 belongs to Santa Ysabel Community Health in Santa Ysabel, CA.

Certificate of Waiver, effective May 16, 2026, expires May 15, 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
May 16, 2026
Certificate expiration
May 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 16, 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
05D0915060
Lab name
Santa Ysabel Community Health
Address
110 1/2 School House Canyon Rd, Santa Ysabel, CA 92070
Phone
(760) 749-1410
Fax
(760) 749-2151

Annual test volume the lab reported

Waived tests
20

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

Related

Questions

What is the CLIA number for Santa Ysabel Community Health in Santa Ysabel?

05D0915060, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Santa Ysabel Community Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0915060 expire?

The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.

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