CLIA lab

CLIA 05D1102479: Wellspace Health Oak Park

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

CLIA number 05D1102479 belongs to Wellspace Health Oak Park in Sacramento, CA.

Certificate of Waiver, effective March 17, 2026, expires March 16, 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
March 17, 2026
Certificate expiration
March 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 20, 2009
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
05D1102479
Lab name
Wellspace Health Oak Park
Additional name
Community Health Center
Address
3415 Martin Luther King Jr Blvd, Sacramento, CA 95817
Phone
(916) 737-5555

Annual test volume the lab reported

Waived tests
7,000

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

Related

Questions

What is the CLIA number for Wellspace Health Oak Park in Sacramento?

05D1102479, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellspace Health Oak Park hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1102479 expire?

The CMS file lists March 16, 2028 as the certificate expiration date; the certificate took effect March 17, 2026.

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