CLIA lab
CLIA 05D2060637: Folsom Lake Primary Care, PC
Folsom, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2060637 belongs to Folsom Lake Primary Care, PC in Folsom, CA.
Certificate of Waiver, effective May 3, 2025, expires May 2, 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
- May 3, 2025
- Certificate expiration
- May 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 2013
- 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
- 05D2060637
- Lab name
- Folsom Lake Primary Care, PC
- Address
- 2575 E Bidwell St, Ste 210, Folsom, CA 95630
- Phone
- (916) 984-7850
- Fax
- (916) 984-7877
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Folsom, CA
- Advanced Pain Diagnostic & SolutionsCertificate of Waiver, Physician office05D2284359
- Bella Nirvana Center, IncCertificate of Waiver, Other05D2127809
- Bella Nirvana Center, IncCertificate of Waiver, Other05D2158821
- Bellestar Home Health Care IncCertificate of Waiver, Home health agency05D2148669
- Bingtao Lin MD PCCertificate of Waiver, Physician office05D2159882
- Brookdale FolsomCertificate of Waiver, Assisted living facility05D2215443
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D1052037
- Creekside Internal Med/Sam Khouri MDCertificate of Waiver, Physician office05D0970677
- Dentists of FolsomCertificate of Waiver, Other practitioner05D2342946
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D1063141
Related
Questions
What is the CLIA number for Folsom Lake Primary Care, PC in Folsom?
05D2060637, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Folsom Lake Primary Care, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2060637 expire?
The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.