CLIA lab
CLIA 05D1098501: Kimberly Faucher, MD
Willits, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1098501 belongs to Kimberly Faucher, MD in Willits, CA.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D1098501
- Lab name
- Kimberly Faucher, MD
- Address
- 1155 Main Street, Willits, CA 95490
- Phone
- (707) 456-1100
- Fax
- (707) 456-1101
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Willits, CA
- Adventist Health Howard MemorialCertificate of Accreditation, Hospital05D0682844
- Ahhm Dawsons Center- Specialty ClinicCertificate of Waiver, Other05D2335944
- Baechtel Creek Medical ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office05D0612624
- John Williams DOCertificate of Waiver, Other practitioner05D0947558
- Northbrook Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0612626
- Safeway Pharmacy #0965Certificate of Waiver, Pharmacy05D2268618
- Willits Hospital IncCertificate of Waiver, Rural health clinic05D2094607
Related
Questions
What is the CLIA number for Kimberly Faucher, MD in Willits?
05D1098501, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kimberly Faucher, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1098501 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.