CLIA lab
CLIA 05D1017551: Mono County Health and Human Services,
Mammoth Lakes, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1017551 belongs to Mono County Health and Human Services, in Mammoth Lakes, CA.
Certificate of Waiver, effective September 29, 2025, expires September 28, 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
- September 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2003
- Facility type
- Public health laboratory
- Ownership (control type)
- Government, county
- 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
- 05D1017551
- Lab name
- Mono County Health and Human Services,
- Additional name
- Public Health Division
- Address
- 1290 Tavern Rd Ste 246, Mammoth Lakes, CA 93546
- Phone
- (760) 924-1830
- Fax
- (760) 924-1831
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 Mammoth Lakes, CA
Related
Questions
What is the CLIA number for Mono County Health and Human Services, in Mammoth Lakes?
05D1017551, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mono County Health and Human Services, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1017551 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.