CLIA lab
CLIA 05D1062720: San Lucas Pediatric Clinic, Inc
Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1062720 belongs to San Lucas Pediatric Clinic, Inc in Sacramento, CA.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2006
- Facility type
- Physician office
- 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
- 05D1062720
- Lab name
- San Lucas Pediatric Clinic, Inc
- Address
- 4100 East Commerce Way Ste 100, Sacramento, CA 95834
- Phone
- (916) 575-9090
- Fax
- (916) 575-9099
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 San Lucas Pediatric Clinic, Inc in Sacramento?
05D1062720, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Lucas Pediatric Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1062720 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.