CLIA lab
CLIA 05D1091695: Willow Creek Community Health Center
Willow Creek, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1091695 belongs to Willow Creek Community Health Center in Willow Creek, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 6, 2024, expires November 5, 2026.
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
- November 6, 2024
- Certificate expiration
- November 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 6, 2008
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1091695
- Lab name
- Willow Creek Community Health Center
- Address
- 38883 Highway 299, Willow Creek, CA 95573
- Phone
- (530) 629-3111
- Fax
- (530) 629-3122
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 500
- Total
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Willow Creek, CA
Related
Questions
What is the CLIA number for Willow Creek Community Health Center in Willow Creek?
05D1091695, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willow Creek Community Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1091695 expire?
The CMS file lists November 5, 2026 as the certificate expiration date; the certificate took effect November 6, 2024.