CLIA lab

CLIA 05D2058801: Wellspace Health Rancho Cordova

Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2058801 belongs to Wellspace Health Rancho Cordova in Sacramento, CA.

Certificate of Waiver, effective January 8, 2026, expires January 7, 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
January 8, 2026
Certificate expiration
January 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 13, 2013
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2058801
Lab name
Wellspace Health Rancho Cordova
Additional name
Community Health Center
Address
10423 Old Placerville Rd Ste A, Sacramento, CA 95827
Phone
(916) 679-3925
Fax
(916) 679-3928

Annual test volume the lab reported

Waived tests
7,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Sacramento, CA

Related

Questions

What is the CLIA number for Wellspace Health Rancho Cordova in Sacramento?

05D2058801, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellspace Health Rancho Cordova hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2058801 expire?

The CMS file lists January 7, 2028 as the certificate expiration date; the certificate took effect January 8, 2026.

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