CLIA lab
CLIA 05D0940220: Golden State Annex
Mc Farland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0940220 belongs to Golden State Annex in Mc Farland, CA.
Certificate of Waiver, effective April 26, 2025, expires April 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 26, 2025
- Certificate expiration
- April 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 6, 1998
- Facility type
- Prison
- Ownership (control type)
- Proprietary
- 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
- 05D0940220
- Lab name
- Golden State Annex
- Address
- 611 Frontage Road, Mc Farland, CA 93250
- Phone
- (661) 792-2731
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 Mc Farland, CA
- Central Valley AnnexCertificate of Waiver, Prison05D2113288
- Clinica Sierra Vista DBA Mcfarland CommunityCertificate of Waiver, Federally qualified health center05D0585403
- Community Health Centers of AmericaCertificate of Waiver, Federally qualified health center05D2313521
- Elmo Pediatrics & Family Walk-In ClinicCertificate of Waiver, Rural health clinic05D2289448
- Infusion and Clinical Services Inc.Certificate of Waiver, Physician office05D2288355
- Peridot Health Medical ClinicCertificate of Waiver, Rural health clinic05D2315355
Related
Questions
What is the CLIA number for Golden State Annex in Mc Farland?
05D0940220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Annex hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0940220 expire?
The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.