CLIA lab

CLIA 05D0616055: Pediatric Medical Associates

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

CLIA number 05D0616055 belongs to Pediatric Medical Associates in Sacramento, CA.

Certificate of Waiver, effective March 28, 2026, expires March 27, 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
March 28, 2026
Certificate expiration
March 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 8, 1993
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
05D0616055
Lab name
Pediatric Medical Associates
Additional name
DBA Land Park Pediatric Med Group
Address
4617 Freeport Blvd Ste B, Sacramento, CA 95822
Phone
(916) 924-9337

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?

05D0616055, 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 05D0616055 expire?

The CMS file lists March 27, 2028 as the certificate expiration date; the certificate took effect March 28, 2026.

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