CLIA lab

CLIA 05D1091037: Lakeside Health & Wellness

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

CLIA number 05D1091037 belongs to Lakeside Health & Wellness in Folsom, CA.

Certificate of Waiver, effective October 23, 2026, expires October 22, 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
October 23, 2026
Certificate expiration
October 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 23, 2008
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
05D1091037
Lab name
Lakeside Health & Wellness
Address
1641 Creekside Dr Ste 201, Folsom, CA 95630
Phone
(916) 983-3069
Fax
(916) 983-4569

Annual test volume the lab reported

Waived tests
2,500

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

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Related

Questions

What is the CLIA number for Lakeside Health & Wellness in Folsom?

05D1091037, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lakeside Health & Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1091037 expire?

The CMS file lists October 22, 2028 as the certificate expiration date; the certificate took effect October 23, 2026.

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