CLIA lab
CLIA 05D2048015: Dignity Health Medical Foundation
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2048015 belongs to Dignity Health Medical Foundation in Elk Grove, CA.
Certificate of Waiver, effective October 8, 2024, expiration date October 7, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 8, 2024
- Certificate expiration
- October 7, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2012
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2048015
- Lab name
- Dignity Health Medical Foundation
- Address
- 8220 Wymark Dr Ste 101, Elk Grove, CA 95757
- Phone
- (916) 733-6960
- Fax
- (916) 733-6822
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Dignity Health Medical Foundation in Elk Grove?
05D2048015, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dignity Health Medical Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2048015 expire?
The CMS file lists October 7, 2026 as the certificate expiration date; the certificate took effect October 8, 2024.