CLIA lab
CLIA 05D1031401: Rai Care Centers of Northern California I, LLC
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1031401 belongs to Rai Care Centers of Northern California I, LLC in Elk Grove, CA.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 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
- 05D1031401
- Lab name
- Rai Care Centers of Northern California I, LLC
- Additional name
- (Rai-Elk Grove Boulevard-Elk Grove)
- Address
- 8139 Elk Grove Blvd Ste 200, Elk Grove, CA 95758
- Phone
- (916) 478-3520
- Fax
- (916) 478-3530
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- RAI - Elk Grove Blvd - Elk GroveCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Rai Care Centers of Northern California I, LLC in Elk Grove?
05D1031401, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rai Care Centers of Northern California I, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1031401 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.