CLIA lab
CLIA 05D1057444: Dci - Fort Bragg
Fort Bragg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1057444 belongs to Dci - Fort Bragg in Fort Bragg, CA.
Certificate of Waiver, effective August 11, 2026, expires August 10, 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
- August 11, 2026
- Certificate expiration
- August 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 2006
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D1057444
- Lab name
- Dci - Fort Bragg
- Address
- 512 Cypress St, Fort Bragg, CA 95437
- Phone
- (707) 964-1610
- Fax
- (707) 964-1609
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Fort Bragg Dialysis DCICMS Care Compare ratings for the facility at the same street address
Other labs in Fort Bragg, CA
- Adventist Health Mendocino CoastCertificate of Accreditation, Hospital05D0612009
- Adventist Health Ukiah Valley (Ahuv)Certificate of Waiver, Rural health clinic05D0612017
- Mendocino Coast Adventist HealthCertificate of Waiver, Rural health clinic05D0611996
- Safeway Pharmacy #978Certificate of Waiver, Pharmacy05D2064268
- Sherwood Oaks Post Acute Care LLCCertificate of Waiver, Skilled nursing or nursing facility05D0612016
Related
Questions
What is the CLIA number for Dci - Fort Bragg in Fort Bragg?
05D1057444, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dci - Fort Bragg hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1057444 expire?
The CMS file lists August 10, 2028 as the certificate expiration date; the certificate took effect August 11, 2026.