CLIA lab

CLIA 05D2001819: Family Medical Center - San Andreas

San Andreas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2001819 belongs to Family Medical Center - San Andreas in San Andreas, CA.

Certificate for Provider-Performed Microscopy Procedures, effective July 1, 2026, expires June 30, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 1, 2026
Certificate expiration
June 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 2009
Facility type
Rural health clinic
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2001819
Lab name
Family Medical Center - San Andreas
Address
702 Mountain Ranch Rd, San Andreas, CA 95249
Phone
(209) 754-4564
Fax
(805) 346-3582

Annual test volume the lab reported

Waived tests
200
Provider-performed microscopy tests
100
Total
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in San Andreas, CA

Related

Questions

What is the CLIA number for Family Medical Center - San Andreas in San Andreas?

05D2001819, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Medical Center - San Andreas hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2001819 expire?

The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.

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