CLIA lab
CLIA 05D2281395: Mact Prosthodontics
Sonora, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2281395 belongs to Mact Prosthodontics in Sonora, CA.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 2023
- Facility type
- Other
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 8
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2281395
- Lab name
- Mact Prosthodontics
- Address
- 940 Sylva Lane, D1, Sonora, CA 95370
- Phone
- (209) 754-6242
- Fax
- (209) 754-6257
Annual test volume the lab reported
- Waived tests
- 730
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sonora, CA
- Adventist Health Sonora HospitalCertificate of Accreditation, Hospital05D0610961
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2268243
- Douglas W Ankrom, MDCertificate of Waiver, Physician office05D1059296
- Golden Sonora Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0960040
- Lawrence E. Brunel, MDCertificate of Waiver, Physician office05D2118484
- Mact Dental, SonoraCertificate of Waiver, Ancillary test site05D2216004
- Mact Medical, SonoraCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0977762
- Mact Sonora Pediatric Health CenterCertificate for Provider-Performed Microscopy Procedures, Other05D2274213
- Mact Sonora Women's Health CenterCertificate for Provider-Performed Microscopy Procedures, Other05D2274205
- Safeway Pharmacy #3127Certificate of Waiver, Pharmacy05D2094643
Related
Questions
What is the CLIA number for Mact Prosthodontics in Sonora?
05D2281395, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mact Prosthodontics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2281395 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.