CLIA lab
CLIA 05D2204615: Sierra Health and Wellness -Bangor
Bangor, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2204615 belongs to Sierra Health and Wellness -Bangor in Bangor, CA.
Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.
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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2020
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 05D2204615
- Lab name
- Sierra Health and Wellness -Bangor
- Address
- 40 Coyote Moon Trail, Bangor, CA 95914
- Phone
- (530) 854-4119
- Fax
- (530) 430-3067
Annual test volume the lab reported
- Waived tests
- 350
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 Sierra Health and Wellness -Bangor in Bangor?
05D2204615, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sierra Health and Wellness -Bangor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2204615 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.