CLIA lab
CLIA 05D0929401: Cameron Park Dialysis
Cameron Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0929401 belongs to Cameron Park Dialysis in Cameron Park, CA.
Certificate of Waiver, effective June 12, 2025, expires June 11, 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 12, 2025
- Certificate expiration
- June 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 1997
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D0929401
- Lab name
- Cameron Park Dialysis
- Address
- 3311 Coach Lane Ste C, Cameron Park, CA 95682
- Phone
- (530) 677-5114
- Fax
- (530) 677-5190
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Cameron Park DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Cameron Park, CA
- Cvspharmacy #06793Certificate of Waiver, Pharmacy05D2269067
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0869592
- 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 Cameron Park Dialysis in Cameron Park?
05D0929401, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cameron Park Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0929401 expire?
The CMS file lists June 11, 2027 as the certificate expiration date; the certificate took effect June 12, 2025.