CLIA lab
CLIA 05D1105432: Gold River Family Medicine
Gold River, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1105432 belongs to Gold River Family Medicine in Gold River, CA.
Certificate of Waiver, effective September 23, 2025, expires September 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 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
- 05D1105432
- Lab name
- Gold River Family Medicine
- Additional name
- Warren F Brandle
- Address
- 11226 Gold Express Drive #205, Gold River, CA 95670
- Phone
- (916) 638-2800
- Fax
- (916) 638-2830
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gold River, CA
Related
Questions
What is the CLIA number for Gold River Family Medicine in Gold River?
05D1105432, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gold River Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1105432 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.