CLIA lab
CLIA 05D1102955: Gastroenterology Medical Clinic
Folsom, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1102955 belongs to Gastroenterology Medical Clinic in Folsom, CA.
Certificate of Compliance, effective September 29, 2023, expires October 31, 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
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- September 29, 2023
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 30, 2009
- 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
- 05D1102955
- Lab name
- Gastroenterology Medical Clinic
- Address
- 1580 Creekside Dr, Ste 200, Folsom, CA 95630
- Phone
- (916) 983-4444
- Fax
- (916) 235-4104
Annual test volume the lab reported
- Other nonwaived tests
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Folsom, CA
- Advanced Pain Diagnostic & SolutionsCertificate of Waiver, Physician office05D2284359
- Bella Nirvana Center, IncCertificate of Waiver, Other05D2127809
- Bella Nirvana Center, IncCertificate of Waiver, Other05D2158821
- Bellestar Home Health Care IncCertificate of Waiver, Home health agency05D2148669
- Bingtao Lin MD PCCertificate of Waiver, Physician office05D2159882
- Brookdale FolsomCertificate of Waiver, Assisted living facility05D2215443
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D1052037
- Creekside Internal Med/Sam Khouri MDCertificate of Waiver, Physician office05D0970677
- Dentists of FolsomCertificate of Waiver, Other practitioner05D2342946
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D1063141
Related
Questions
What is the CLIA number for Gastroenterology Medical Clinic in Folsom?
05D1102955, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gastroenterology Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1102955 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 29, 2023.