CLIA lab

CLIA 05D1073819: Pediatric Medical Associates

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

CLIA number 05D1073819 belongs to Pediatric Medical Associates in Carmichael, CA.

Certificate of Waiver, effective September 17, 2025, expires September 16, 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 17, 2025
Certificate expiration
September 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2007
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1073819
Lab name
Pediatric Medical Associates
Additional name
DBA Carmichael Pediatrics Medical Group
Address
6347 Coyle Ave, Carmichael, CA 95608
Phone
(916) 485-9800
Fax
(916) 485-9810

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Carmichael, CA

Related

Questions

What is the CLIA number for Pediatric Medical Associates in Carmichael?

05D1073819, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Medical Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1073819 expire?

The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.

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