CLIA lab

CLIA 05D2087564: Jonathan Thygeson, M.D., Inc

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

CLIA number 05D2087564 belongs to Jonathan Thygeson, M.D., Inc in Sacramento, CA.

Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.

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
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 1, 2014
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
05D2087564
Lab name
Jonathan Thygeson, M.D., Inc
Address
755 University Ave, Sacramento, CA 95825
Phone
(916) 924-8754
Fax
(916) 924-1739

Annual test volume the lab reported

Waived tests
2,000

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

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Questions

What is the CLIA number for Jonathan Thygeson, M.D., Inc in Sacramento?

05D2087564, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jonathan Thygeson, M.D., Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2087564 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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