CLIA lab
CLIA 05D2216019: Mact Dental, San Andreas
San Andreas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2216019 belongs to Mact Dental, San Andreas in San Andreas, CA.
Certificate of Waiver, effective March 9, 2025, expires March 8, 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 of Waiver
- Certificate effective
- March 9, 2025
- Certificate expiration
- March 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 9, 2021
- Facility type
- Ancillary test site
- Ownership (control type)
- Government, 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
- 05D2216019
- Lab name
- Mact Dental, San Andreas
- Address
- 1113A Hwy 49, San Andreas, CA 95249
- Phone
- (209) 754-6262
- Fax
- (209) 754-6275
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Andreas, CA
- Calaveras County Health DepartmentCertificate of Waiver, Other05D0609784
- California Forensic Medical Group IncCertificate of Waiver, Other05D2155235
- Family Medical Center - San AndreasCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D2001819
- Golden State Amdreas Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0662754
- Mact Medical San AndreasCertificate of Waiver, Community clinic05D1084391
- Mark Twain Medical CenterCertificate of Accreditation, Hospital05D0609782
- Stockton Cardiology Medical Group - San AndreasCertificate of Waiver, Physician office05D1100593
Related
Questions
What is the CLIA number for Mact Dental, San Andreas in San Andreas?
05D2216019, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mact Dental, San Andreas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2216019 expire?
The CMS file lists March 8, 2027 as the certificate expiration date; the certificate took effect March 9, 2025.