CLIA lab
CLIA 05D0930590: Antelope Dialysis Center
Citrus Heights, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0930590 belongs to Antelope Dialysis Center in Citrus Heights, CA.
Certificate of Waiver, effective July 15, 2025, expires July 14, 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
- July 15, 2025
- Certificate expiration
- July 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 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
- 05D0930590
- Lab name
- Antelope Dialysis Center
- Address
- 6406 Tupelo Dr Ste A, Citrus Heights, CA 95621
- Phone
- (916) 721-1800
- Fax
- (916) 721-4376
Annual test volume the lab reported
- Waived tests
- 6,240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Antelope Dialysis CenterCMS Care Compare ratings for the facility at the same street address
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- First Call Home HealthCertificate of Waiver, Home health agency05D2284665
Related
Questions
What is the CLIA number for Antelope Dialysis Center in Citrus Heights?
05D0930590, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antelope Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0930590 expire?
The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.