CLIA lab
CLIA 05D2063286: Wellspace Health Martin Luther King JR Village
Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2063286 belongs to Wellspace Health Martin Luther King JR Village in Sacramento, CA.
Certificate of Waiver, effective July 31, 2025, expires July 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 of Waiver
- Certificate effective
- July 31, 2025
- Certificate expiration
- July 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2013
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 7
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2063286
- Lab name
- Wellspace Health Martin Luther King JR Village
- Address
- 3900 47th Ave., Sacramento, CA 95824
- Phone
- (916) 550-5481
- Fax
- (916) 822-8974
Annual test volume the lab reported
- Waived tests
- 3,500
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
- A Plus Healthcare LLCCertificate of Waiver, Home health agency05D2183514
- Aa Affinity Healthcare, LLCCertificate of Waiver, Home health agency05D2315884
- Acc Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0616696
- Accentcare Home Health of California IncCertificate of Waiver, Home health agency05D0870580
- Advanced Pain Diagnostic & SolutionsCertificate of Waiver, Physician office05D2190018
- Advanced Pain Management InstituteCertificate of Waiver, Physician office05D2182508
- Aesthetic Physicians of California IncCertificate of Waiver, Physician office05D2011109
- Ahc Home Health of Sacramento, LLCCertificate of Waiver, Home health agency05D2297647
- Akua Mind and Body IncCertificate of Waiver, Other05D2287152
- Alars Home Health, LLCCertificate of Waiver, Home health agency05D2031720
Related
Questions
What is the CLIA number for Wellspace Health Martin Luther King JR Village in Sacramento?
05D2063286, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspace Health Martin Luther King JR Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2063286 expire?
The CMS file lists July 30, 2027 as the certificate expiration date; the certificate took effect July 31, 2025.