CLIA lab
CLIA 05D0900096: Vitalant - Fair Oaks
Fair Oaks, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0900096 belongs to Vitalant - Fair Oaks in Fair Oaks, CA.
Certificate of Waiver, effective June 8, 2025, expires June 7, 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 of Waiver
- Certificate effective
- June 8, 2025
- Certificate expiration
- June 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 1995
- Facility type
- Blood bank
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 7
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0900096
- Lab name
- Vitalant - Fair Oaks
- Address
- 11713 Fair Oaks Blvd, Fair Oaks, CA 95628
- Phone
- (916) 722-7119
- Fax
- (916) 366-2546
Annual test volume the lab reported
- Waived tests
- 8,866
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fair Oaks, CA
- A Plus Hospice LLC DBA Ai HealthcareCertificate of Waiver, Hospice05D2181658
- Absolute Medical, PC DBA Urgent Care NowCertificate of Waiver, Other05D2088169
- Akua Mind & BodyCertificate of Waiver, Other05D2181879
- Allen E Priest JR MDCertificate of Waiver, Physician office05D0613955
- Apex Research Group, LLCCertificate of Waiver, Other05D2284897
- Barton Hall LLCCertificate of Waiver, Other05D2279228
- Dahlia Bu MDCertificate of Waiver, Physician office05D0941047
- Eskaton Care Center-Fair OaksCertificate of Waiver, Skilled nursing or nursing facility05D0887117
- Family Medicine & Ambulatory CareCertificate of Waiver, Physician office05D2158784
- Healthy Living Primary CareCertificate of Waiver, Physician office05D2126227
Related
Questions
What is the CLIA number for Vitalant - Fair Oaks in Fair Oaks?
05D0900096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vitalant - Fair Oaks hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0900096 expire?
The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.