CLIA lab

CLIA 05D2019902: Medcor, Inc Target DC

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

CLIA number 05D2019902 belongs to Medcor, Inc Target DC in Woodland, CA.

Certificate of Waiver, effective February 9, 2025, expires February 8, 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
February 9, 2025
Certificate expiration
February 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 9, 2011
Facility type
Industrial
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
05D2019902
Lab name
Medcor, Inc Target DC
Address
2050 E Beamer St, Woodland, CA 95776
Phone
(530) 668-2391
Fax
(530) 668-2368

Annual test volume the lab reported

Waived tests
400

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

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Related

Questions

What is the CLIA number for Medcor, Inc Target DC in Woodland?

05D2019902, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medcor, Inc Target DC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2019902 expire?

The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.

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