CLIA lab
CLIA 05D0978100: Samuel Dixon Family Health Center Inc
Canyon Country, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0978100 belongs to Samuel Dixon Family Health Center Inc in Canyon Country, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 15, 2026, expires September 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 15, 2026
- Certificate expiration
- September 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2000
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D0978100
- Lab name
- Samuel Dixon Family Health Center Inc
- Address
- 27225 Camp Plenty Rd Ste 4, Canyon Country, CA 91351
- Phone
- (661) 291-1777
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Canyon Country, CA
- Canyon Country Dialysis Center LLCCertificate of Waiver, End stage renal disease dialysis facility05D1033068
- Golden Oak PediatricsCertificate of Waiver, Physician office05D2275948
- Kids and Teens Medical GroupCertificate of Waiver, Physician office05D1063098
- Rochelle C Feldman MDCertificate of Waiver, Physician office05D0967873
- Smart Clinic IncCertificate for Provider-Performed Microscopy Procedures, Other05D2118168
- Valencia Home Health Care, LLCCertificate of Waiver, Home health agency05D2128375
Related
Questions
What is the CLIA number for Samuel Dixon Family Health Center Inc in Canyon Country?
05D0978100, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Samuel Dixon Family Health Center Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0978100 expire?
The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.