CLIA lab
CLIA 05D1025481: Graeagle Medical Clinic
Graeagle, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1025481 belongs to Graeagle Medical Clinic in Graeagle, CA.
Certificate of Waiver, effective October 21, 2026, expires October 20, 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
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2004
- Facility type
- Rural health 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
- 05D1025481
- Lab name
- Graeagle Medical Clinic
- Address
- 7597 State Highway 89, Graeagle, CA 96103
- Phone
- (530) 832-6604
- Fax
- (530) 832-5968
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Graeagle Medical Clinic in Graeagle?
05D1025481, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Graeagle Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1025481 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.