CLIA lab

CLIA 05D0970606: Pediatric Medical Associates

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

CLIA number 05D0970606 belongs to Pediatric Medical Associates in Roseville, CA.

Certificate of Waiver, effective February 18, 2026, expires February 17, 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
February 18, 2026
Certificate expiration
February 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 18, 2000
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0970606
Lab name
Pediatric Medical Associates
Additional name
DBA Roseville Pediatric Medical GRP
Address
902 Cirby Way, Roseville, CA 95661
Phone
(916) 789-1798
Fax
(916) 789-0889

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Roseville, CA

Related

Questions

What is the CLIA number for Pediatric Medical Associates in Roseville?

05D0970606, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Medical Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0970606 expire?

The CMS file lists February 17, 2028 as the certificate expiration date; the certificate took effect February 18, 2026.

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