CLIA lab
CLIA 05D1096003: West Elk Grove Dialysis
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1096003 belongs to West Elk Grove Dialysis in Elk Grove, CA.
Certificate of Waiver, effective February 23, 2025, expires February 22, 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
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2009
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1096003
- Lab name
- West Elk Grove Dialysis
- Address
- 2208 Kausen Dr Ste 100, Elk Grove, CA 95758
- Phone
- (916) 683-5992
- Fax
- (916) 683-6025
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita West Elk Grove DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Elk Grove, CA
- All Inclusive Medical Services Urgent Care, IncCertificate of Waiver, Other05D2321414
- Alpine Management Enterprises IncCertificate of Waiver, Home health agency05D2165852
- Blossom Ridge Long Term Care FacilityCertificate of Waiver, Other05D2110359
- Capitol Hospice CareCertificate of Waiver, Hospice05D2182100
- Caremeridian-Elk GroveCertificate of Waiver, Other05D1089789
- Clinical Health Appraisals, IncCertificate of Waiver, Health fair05D0910365
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2033270
- Customcare Home Health Services IncCertificate of Waiver, Home health agency05D2044489
- Cvs/Pharmacy #00182Certificate of Waiver, Pharmacy05D2268812
- Diamond House DetoxCertificate of Waiver, Other05D2136149
Related
Questions
What is the CLIA number for West Elk Grove Dialysis in Elk Grove?
05D1096003, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does West Elk Grove Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1096003 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.