CLIA lab
CLIA 05D0953717: Scott Valley Rural Health Clinic
Etna, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0953717 belongs to Scott Valley Rural Health Clinic in Etna, CA.
Certificate of Waiver, effective October 24, 2025, expires October 23, 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
- October 24, 2025
- Certificate expiration
- October 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 1998
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0953717
- Lab name
- Scott Valley Rural Health Clinic
- Address
- 8 Commercial St, Etna, CA 96027
- Phone
- (530) 841-6287
- Fax
- (530) 841-0913
Annual test volume the lab reported
- Waived tests
- 685
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Scott Valley Rural Health Clinic in Etna?
05D0953717, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scott Valley Rural Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0953717 expire?
The CMS file lists October 23, 2027 as the certificate expiration date; the certificate took effect October 24, 2025.