CLIA lab
CLIA 05D1053436: Permanente Med GRP Inc S Sact'o Mob Lab
Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1053436 belongs to Permanente Med GRP Inc S Sact'o Mob Lab in Sacramento, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 25, 2026, expires April 24, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2006
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1053436
- Lab name
- Permanente Med GRP Inc S Sact'o Mob Lab
- Address
- 6600 Bruceville Rd, South Sacramento Kaiser Lab/attn Sue Traub, Sacramento, CA 95823
- Phone
- (916) 688-2764
- Fax
- (916) 688-6083
Annual test volume the lab reported
- Waived tests
- 12,000
- Provider-performed microscopy tests
- 500
- Total
- 12,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sacramento, CA
- A Plus Healthcare LLCCertificate of Waiver, Home health agency05D2183514
- Aa Affinity Healthcare, LLCCertificate of Waiver, Home health agency05D2315884
- Acc Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0616696
- Accentcare Home Health of California IncCertificate of Waiver, Home health agency05D0870580
- Advanced Pain Diagnostic & SolutionsCertificate of Waiver, Physician office05D2190018
- Advanced Pain Management InstituteCertificate of Waiver, Physician office05D2182508
- Aesthetic Physicians of California IncCertificate of Waiver, Physician office05D2011109
- Ahc Home Health of Sacramento, LLCCertificate of Waiver, Home health agency05D2297647
- Akua Mind and Body IncCertificate of Waiver, Other05D2287152
- Alars Home Health, LLCCertificate of Waiver, Home health agency05D2031720
Related
Questions
What is the CLIA number for Permanente Med GRP Inc S Sact'o Mob Lab in Sacramento?
05D1053436, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Permanente Med GRP Inc S Sact'o Mob Lab hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1053436 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.