CLIA lab

CLIA 05D2084685: Mdstat Urgent Care, Inc

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

CLIA number 05D2084685 belongs to Mdstat Urgent Care, Inc in Fair Oaks, CA.

Certificate of Waiver, effective September 29, 2024, expiration date September 28, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
September 29, 2024
Certificate expiration
September 28, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 29, 2014
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
05D2084685
Lab name
Mdstat Urgent Care, Inc
Address
4948 San Juan Ave, Fair Oaks, CA 95628
Phone
(916) 678-5291
Fax
(916) 678-5299

Annual test volume the lab reported

Waived tests
6,300

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

Affiliated CLIA numbers

Other labs in Fair Oaks, CA

Related

Questions

What is the CLIA number for Mdstat Urgent Care, Inc in Fair Oaks?

05D2084685, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mdstat Urgent Care, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2084685 expire?

The CMS file lists September 28, 2026 as the certificate expiration date; the certificate took effect September 29, 2024.

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