CLIA lab
CLIA 05D1079394: John C Fremont Healthcare District
Coulterville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1079394 belongs to John C Fremont Healthcare District in Coulterville, CA.
Certificate of Waiver, effective January 30, 2026, expires January 29, 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
- January 30, 2026
- Certificate expiration
- January 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 30, 2008
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, 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
- 05D1079394
- Lab name
- John C Fremont Healthcare District
- Additional name
- Northside Clinic
- Address
- 6386 Greeley Hill Road, Coulterville, CA 95311
- Phone
- (209) 966-3631
Annual test volume the lab reported
- Waived tests
- 500
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 John C Fremont Healthcare District in Coulterville?
05D1079394, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does John C Fremont Healthcare District hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1079394 expire?
The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.