CLIA lab
CLIA 05D1029811: Marshall Outpatient Surgery Dept
Cameron Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1029811 belongs to Marshall Outpatient Surgery Dept in Cameron Park, CA.
Certificate of Waiver, effective August 24, 2026, expires August 23, 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
- August 24, 2026
- Certificate expiration
- August 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2004
- Facility type
- Hospital
- Ownership (control type)
- Private
- 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
- 05D1029811
- Lab name
- Marshall Outpatient Surgery Dept
- Address
- 3501 Palmer Dr Ste 100, Cameron Park, CA 95682
- Phone
- (530) 676-2611
Annual test volume the lab reported
- Waived tests
- 465
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cameron Park DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0929401
- 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 Specialty Clinic - Cameron ParkCertificate of Waiver, Hospital05D1072718
- Parker Home Healthcare, IncCertificate of Waiver, Home health agency05D2323746
Related
Questions
What is the CLIA number for Marshall Outpatient Surgery Dept in Cameron Park?
05D1029811, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Marshall Outpatient Surgery Dept hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1029811 expire?
The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.