CLIA lab

CLIA 05D1028359: Elk Grove Dialysis Center

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

CLIA number 05D1028359 belongs to Elk Grove Dialysis Center in Elk Grove, CA.

Certificate of Waiver, effective July 22, 2026, expires July 21, 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
July 22, 2026
Certificate expiration
July 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 22, 2004
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
05D1028359
Lab name
Elk Grove Dialysis Center
Address
9281 Office Park Circle Suite 105, Elk Grove, CA 95758
Phone
(916) 691-0480
Fax
(916) 691-0488

Annual test volume the lab reported

Waived tests
500

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

Other labs in Elk Grove, CA

Related

Questions

What is the CLIA number for Elk Grove Dialysis Center in Elk Grove?

05D1028359, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Elk Grove Dialysis Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1028359 expire?

The CMS file lists July 21, 2028 as the certificate expiration date; the certificate took effect July 22, 2026.

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