CLIA lab

CLIA 05D0947558: John Williams DO

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

CLIA number 05D0947558 belongs to John Williams DO in Willits, CA.

Certificate of Waiver, effective June 20, 2026, expires June 19, 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
June 20, 2026
Certificate expiration
June 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 18, 1998
Facility type
Other practitioner
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
05D0947558
Lab name
John Williams DO
Address
1772 South Main Street, Willits, CA 95490
Phone
(707) 459-5585
Fax
(707) 459-3548

Annual test volume the lab reported

Waived tests
2,600

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

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Questions

What is the CLIA number for John Williams DO in Willits?

05D0947558, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does John Williams DO hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0947558 expire?

The CMS file lists June 19, 2028 as the certificate expiration date; the certificate took effect June 20, 2026.

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