CLIA lab

CLIA 05D0616752: Peach Tree Sacramento

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

CLIA number 05D0616752 belongs to Peach Tree Sacramento in Sacramento, CA.

Certificate for Provider-Performed Microscopy Procedures, effective November 14, 2025, expires November 13, 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 for Provider-Performed Microscopy Procedures
Certificate effective
November 14, 2025
Certificate expiration
November 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 27, 1993
Facility type
Federally qualified health center
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
05D0616752
Lab name
Peach Tree Sacramento
Address
3810 Rosin Court, Sacramento, CA 95834
Phone
(916) 779-7656
Fax
(530) 743-5044

Annual test volume the lab reported

Waived tests
3,000
Provider-performed microscopy tests
3,000
Total
6,000

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

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Related

Questions

What is the CLIA number for Peach Tree Sacramento in Sacramento?

05D0616752, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peach Tree Sacramento hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0616752 expire?

The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.

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