CLIA lab

CLIA 05D0858104: Sutter Alhambra Surgery Center

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

CLIA number 05D0858104 belongs to Sutter Alhambra Surgery Center in Elk Grove, 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
January 25, 1993
Facility type
Ambulatory surgery center
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
05D0858104
Lab name
Sutter Alhambra Surgery Center
Address
1201 Alhambra Blvd, Ste 110, Elk Grove, CA 95757
Phone
(916) 733-8222
Fax
(916) 733-8224

Annual test volume the lab reported

Waived tests
300

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

Other labs in Elk Grove, CA

Related

Questions

What is the CLIA number for Sutter Alhambra Surgery Center in Elk Grove?

05D0858104, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sutter Alhambra Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0858104 expire?

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

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