CLIA lab
CLIA 05D0977762: Mact Medical, Sonora
Sonora, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0977762 belongs to Mact Medical, Sonora in Sonora, CA.
Certificate for Provider-Performed Microscopy Procedures, effective March 19, 2025, expires March 18, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2000
- Facility type
- Community clinic
- 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
- 05D0977762
- Lab name
- Mact Medical, Sonora
- Address
- 13975 Mono Way Ste G, Sonora, CA 95370
- Phone
- (209) 754-6262
- Fax
- (209) 533-9608
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sonora, CA
- Adventist Health Sonora HospitalCertificate of Accreditation, Hospital05D0610961
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2268243
- Douglas W Ankrom, MDCertificate of Waiver, Physician office05D1059296
- Golden Sonora Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0960040
- Lawrence E. Brunel, MDCertificate of Waiver, Physician office05D2118484
- Mact Dental, SonoraCertificate of Waiver, Ancillary test site05D2216004
- Mact ProsthodonticsCertificate of Waiver, Other05D2281395
- Mact Sonora Pediatric Health CenterCertificate for Provider-Performed Microscopy Procedures, Other05D2274213
- Mact Sonora Women's Health CenterCertificate for Provider-Performed Microscopy Procedures, Other05D2274205
- Safeway Pharmacy #3127Certificate of Waiver, Pharmacy05D2094643
Related
Questions
What is the CLIA number for Mact Medical, Sonora in Sonora?
05D0977762, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mact Medical, Sonora hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0977762 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.