CLIA lab
CLIA 05D2039859: Sutter Medical Foundation
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2039859 belongs to Sutter Medical Foundation in Elk Grove, CA.
Certificate of Waiver, effective April 18, 2026, expires April 17, 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
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2012
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- 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
- 05D2039859
- Lab name
- Sutter Medical Foundation
- Additional name
- Sutter Elk Grove Surgery CTR
- Address
- 8200 Laguna Blvd, Elk Grove, CA 95758
- Phone
- (916) 544-5400
- Fax
- (916) 544-5450
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Sutter Medical Foundation in Elk Grove?
05D2039859, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Medical Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2039859 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.