CLIA lab
CLIA 05D2161932: Mendonoma Health Alliance
Gualala, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2161932 belongs to Mendonoma Health Alliance in Gualala, CA.
Certificate of Waiver, effective February 13, 2025, expires February 12, 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
- February 13, 2025
- Certificate expiration
- February 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2019
- Facility type
- Independent
- 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
- 05D2161932
- Lab name
- Mendonoma Health Alliance
- Address
- 39251 CA-1, Gualala, CA 95445
- Phone
- (707) 412-3176
- Fax
- (707) 412-3196
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gualala, CA
Related
Questions
What is the CLIA number for Mendonoma Health Alliance in Gualala?
05D2161932, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mendonoma Health Alliance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2161932 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.