CLIA lab
CLIA 05D0869592: Dignity Health Medical Foundation
Cameron Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0869592 belongs to Dignity Health Medical Foundation in Cameron Park, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 23, 2024, expires November 22, 2026.
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 23, 2024
- Certificate expiration
- November 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0869592
- Lab name
- Dignity Health Medical Foundation
- Address
- 3427 Robin Lane Ste 100, Cameron Park, CA 95682
- Phone
- (530) 676-4122
- Fax
- (530) 676-6644
Annual test volume the lab reported
- Provider-performed microscopy tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Hayne Y Kelada MDCertificate of Waiver, Physician office05D0885305
- Marshall Cancer CenterCertificate of Waiver, Hospital05D2323832
- Marshall Cardiology - Cameron ParkCertificate of Waiver, Hospital05D2127527
- Marshall Diagnostic Imaging Cameron ParkCertificate of Waiver, Hospital05D2322742
- Marshall Medical CenterCertificate for Provider-Performed Microscopy Procedures, Other05D0902386
- Marshall Outpatient Surgery DeptCertificate of Waiver, Hospital05D1029811
- Marshall Specialty Clinic - Cameron ParkCertificate of Waiver, Hospital05D1072718
- Parker Home Healthcare, IncCertificate of Waiver, Home health agency05D2323746
Related
Questions
What is the CLIA number for Dignity Health Medical Foundation in Cameron Park?
05D0869592, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dignity Health Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0869592 expire?
The CMS file lists November 22, 2026 as the certificate expiration date; the certificate took effect November 23, 2024.