CLIA lab

CLIA 05D0615712: Pediatric Medical Associates

Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0615712 belongs to Pediatric Medical Associates in Sacramento, CA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 20, 1995
Facility type
Physician office
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
05D0615712
Lab name
Pediatric Medical Associates
Additional name
DBA East Sac Pediatric Medical GRP
Address
5030 J Street, Ste 301, Sacramento, CA 95819
Phone
(954) 967-6400

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Sacramento, CA

Related

Questions

What is the CLIA number for Pediatric Medical Associates in Sacramento?

05D0615712, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Medical Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0615712 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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