CLIA lab
CLIA 05D2346611: Mathiesen Memorial Health Clinic
Jamestown, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2346611 belongs to Mathiesen Memorial Health Clinic in Jamestown, CA.
Certificate of Waiver, effective July 3, 2026, expires July 2, 2028.
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
- July 3, 2026
- Certificate expiration
- July 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 3, 2026
- Facility type
- Mobile lab
- Ownership (control type)
- 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
- 05D2346611
- Lab name
- Mathiesen Memorial Health Clinic
- Additional name
- Vin 1f66f5dn3r0a01445
- Address
- 18144 Seco Street, Jamestown, CA 95327
- Phone
- (209) 984-4820
- Fax
- (209) 984-4825
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jamestown, CA
Related
Questions
What is the CLIA number for Mathiesen Memorial Health Clinic in Jamestown?
05D2346611, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mathiesen Memorial Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2346611 expire?
The CMS file lists July 2, 2028 as the certificate expiration date; the certificate took effect July 3, 2026.