CLIA lab

CLIA 05D2130203: Dignity Health Medical Foundation

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

CLIA number 05D2130203 belongs to Dignity Health Medical Foundation in Grass Valley, CA.

Certificate for Provider-Performed Microscopy Procedures, effective May 3, 2025, expires May 2, 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
May 3, 2025
Certificate expiration
May 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 3, 2017
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
05D2130203
Lab name
Dignity Health Medical Foundation
Address
280 Sierra College Dr Ste 115, Grass Valley, CA 95945
Phone
(916) 379-2861
Fax
(916) 858-3205

Annual test volume the lab reported

Waived tests
1,250
Provider-performed microscopy tests
300
Total
1,550

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

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Questions

What is the CLIA number for Dignity Health Medical Foundation in Grass Valley?

05D2130203, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dignity Health Medical Foundation hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2130203 expire?

The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.

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