CLIA lab
CLIA 05D2110223: Indian Valley Medical Clinic
Greenville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2110223 belongs to Indian Valley Medical Clinic in Greenville, CA.
Certificate of Waiver, effective May 16, 2026, expires May 15, 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 of Waiver
- Certificate effective
- May 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 2016
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- 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
- 05D2110223
- Lab name
- Indian Valley Medical Clinic
- Address
- 174 Hot Springs Rd, Greenville, CA 95947
- Phone
- (530) 284-6116
- Fax
- (530) 284-6926
Annual test volume the lab reported
- Waived tests
- 1,000
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 Indian Valley Medical Clinic in Greenville?
05D2110223, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Indian Valley Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2110223 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.