CLIA lab
CLIA 05D2127832: Western Sierra Medical Clinic
Penn Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2127832 belongs to Western Sierra Medical Clinic in Penn Valley, CA.
Certificate for Provider-Performed Microscopy Procedures, effective March 20, 2025, expires March 19, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 20, 2025
- Certificate expiration
- March 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 2017
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 05D2127832
- Lab name
- Western Sierra Medical Clinic
- Address
- 10544 Spenceville Rd, Penn Valley, CA 95946
- Phone
- (530) 648-0410
- Fax
- (530) 289-3159
Annual test volume the lab reported
- Waived tests
- 2,400
- Provider-performed microscopy tests
- 20
- Total
- 2,420
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Penn Valley, CA
Related
Questions
What is the CLIA number for Western Sierra Medical Clinic in Penn Valley?
05D2127832, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Western Sierra Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2127832 expire?
The CMS file lists March 19, 2027 as the certificate expiration date; the certificate took effect March 20, 2025.