CLIA lab
CLIA 05D0920511: Dignity Health Medical Foundation
Grass Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0920511 belongs to Dignity Health Medical Foundation in Grass Valley, CA.
Certificate of Waiver, effective June 6, 2025, expires June 5, 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
- June 6, 2025
- Certificate expiration
- June 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 1996
- Facility type
- Physician office
- 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
- 05D0920511
- Lab name
- Dignity Health Medical Foundation
- Address
- 300 Sierra College Dr Ste 220, Grass Valley, CA 95945
- Phone
- (916) 379-2861
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Grass Valley, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2138928
- Amethyst Medical Group, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0954194
- Bouchier-Pritchett Family Medicine, PCCertificate of Waiver, Physician office05D2142184
- Claydon Medical GroupCertificate of Waiver, Physician office05D2152740
- Crystal Ridge Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0617357
- DR Michael AndyaCertificate of Waiver, Physician office05D0975257
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Other05D0916422
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D1099287
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2010527
- Dignity Health Medical FoundationCertificate of Waiver, Physician office05D2064776
Related
Questions
What is the CLIA number for Dignity Health Medical Foundation in Grass Valley?
05D0920511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dignity Health Medical Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0920511 expire?
The CMS file lists June 5, 2027 as the certificate expiration date; the certificate took effect June 6, 2025.