CLIA lab
CLIA 05D2029116: Tpmg Elk Grove Promenade Laboratory
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2029116 belongs to Tpmg Elk Grove Promenade Laboratory in Elk Grove, CA.
Certificate for Provider-Performed Microscopy Procedures, effective August 31, 2025, expires August 30, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2011
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2029116
- Lab name
- Tpmg Elk Grove Promenade Laboratory
- Address
- 10305 Promenade Parkway, Elk Grove, CA 95757
- Phone
- (916) 688-2764
- Fax
- (916) 688-2413
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 500
- Total
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in 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 Tpmg Elk Grove Promenade Laboratory in Elk Grove?
05D2029116, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tpmg Elk Grove Promenade Laboratory hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2029116 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.