CLIA lab
CLIA 05D2079717: Waterford Community Health Center
Waterford, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2079717 belongs to Waterford Community Health Center in Waterford, CA.
Certificate for Provider-Performed Microscopy Procedures, effective June 23, 2026, expires June 22, 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
- June 23, 2026
- Certificate expiration
- June 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2014
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, state
- 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
- 05D2079717
- Lab name
- Waterford Community Health Center
- Address
- 12146 Yosemite Blvd, Waterford, CA 95386
- Phone
- (209) 847-3011
- Fax
- (209) 848-4135
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 80
- Total
- 580
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Waterford, CA
Related
Questions
What is the CLIA number for Waterford Community Health Center in Waterford?
05D2079717, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Waterford Community Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2079717 expire?
The CMS file lists June 22, 2028 as the certificate expiration date; the certificate took effect June 23, 2026.