CLIA lab
CLIA 05D2039442: Mercy Lake Shastina Community Clinic
Weed, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2039442 belongs to Mercy Lake Shastina Community Clinic in Weed, CA.
Certificate of Waiver, effective June 30, 2025, expires June 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 30, 2025
- Certificate expiration
- June 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 2012
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- 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
- 05D2039442
- Lab name
- Mercy Lake Shastina Community Clinic
- Address
- 16337 Everhart Drive, Weed, CA 96094
- Phone
- (530) 926-9334
Annual test volume the lab reported
- Waived tests
- 412
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Weed, CA
Related
Questions
What is the CLIA number for Mercy Lake Shastina Community Clinic in Weed?
05D2039442, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy Lake Shastina Community Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2039442 expire?
The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.