CLIA lab
CLIA 05D2066697: Dignity Health Medical Foundation
Davis, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2066697 belongs to Dignity Health Medical Foundation in Davis, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 2, 2025, expires October 1, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 2, 2025
- Certificate expiration
- October 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2013
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D2066697
- Lab name
- Dignity Health Medical Foundation
- Address
- 2440 W Covell Blvd, Ste 100, Davis, CA 95616
- Phone
- (916) 379-2861
- Fax
- (916) 858-3205
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 300
- Total
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Davis Urgent CareCertificate of Waiver, Other05D2100062
- Davis Urgent CareCertificate of Waiver, Physician office05D2264373
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0984604
- Jesse G Defrese DCCertificate of Waiver, Physician office05D2091158
- Pain and Rehabilitative ConsultantsCertificate of Waiver, Physician office05D2287842
- Sutter Davis HospitalCertificate of Accreditation, Hospital05D0613795
- Tpmg - Davis MobCertificate for Provider-Performed Microscopy Procedures, Other05D0680927
Related
Questions
What is the CLIA number for Dignity Health Medical Foundation in Davis?
05D2066697, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dignity Health Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2066697 expire?
The CMS file lists October 1, 2027 as the certificate expiration date; the certificate took effect October 2, 2025.