CLIA lab

CLIA 05D0926617: Hospice of Amador & Calaveras

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

CLIA number 05D0926617 belongs to Hospice of Amador & Calaveras in Jackson, CA.

Certificate of Waiver, effective March 26, 2025, expires March 25, 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
March 26, 2025
Certificate expiration
March 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 26, 1997
Facility type
Hospice
Ownership (control type)
Private
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
05D0926617
Lab name
Hospice of Amador & Calaveras
Address
1500 Hwy 49 South Suite 205, PO Box 595, Jackson, CA 95642
Phone
(209) 223-5500
Fax
(209) 223-4964

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.

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Related

Questions

What is the CLIA number for Hospice of Amador & Calaveras in Jackson?

05D0926617, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hospice of Amador & Calaveras hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0926617 expire?

The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.

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