CLIA lab
CLIA 05D2081468: San Lucas Pediatric Clinic, Inc
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2081468 belongs to San Lucas Pediatric Clinic, Inc in Elk Grove, CA.
Certificate of Waiver, effective July 25, 2026, expires July 24, 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
- July 25, 2026
- Certificate expiration
- July 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2014
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2081468
- Lab name
- San Lucas Pediatric Clinic, Inc
- Address
- 7807 Laguna Blvd Ste 440, Elk Grove, CA 95758
- Phone
- (916) 575-9090
- Fax
- (916) 575-9099
Annual test volume the lab reported
- Waived tests
- 11,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Elk Grove, CA
- All Inclusive Medical Services Urgent Care, IncCertificate of Waiver, Other05D2321414
- Alpine Management Enterprises IncCertificate of Waiver, Home health agency05D2165852
- Blossom Ridge Long Term Care FacilityCertificate of Waiver, Other05D2110359
- Capitol Hospice CareCertificate of Waiver, Hospice05D2182100
- 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 San Lucas Pediatric Clinic, Inc in Elk Grove?
05D2081468, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Lucas Pediatric Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2081468 expire?
The CMS file lists July 24, 2028 as the certificate expiration date; the certificate took effect July 25, 2026.