CLIA lab
CLIA 05D2291990: Tri State Community Healthcare Center
Needles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2291990 belongs to Tri State Community Healthcare Center in Needles, CA.
Certificate of Waiver, effective October 18, 2025, expires October 17, 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
- October 18, 2025
- Certificate expiration
- October 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2291990
- Lab name
- Tri State Community Healthcare Center
- Address
- 820 W Broadway Street, Needles, CA 92363
- Phone
- (760) 326-0222
- Fax
- (760) 326-0221
Annual test volume the lab reported
- Waived tests
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Needles, CA
Related
Questions
What is the CLIA number for Tri State Community Healthcare Center in Needles?
05D2291990, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2291990 expire?
The CMS file lists October 17, 2027 as the certificate expiration date; the certificate took effect October 18, 2025.