CLIA lab
CLIA 05D2090979: Wellspace Health San Juan Community Health Center
Citrus Heights, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2090979 belongs to Wellspace Health San Juan Community Health Center in Citrus Heights, CA.
Certificate of Waiver, effective August 5, 2025, expires August 4, 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
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2015
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2090979
- Lab name
- Wellspace Health San Juan Community Health Center
- Address
- 5959 Greenback Ln Ste 500, Citrus Heights, CA 95621
- Phone
- (916) 725-1177
- Fax
- (916) 877-8225
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Citrus Heights, CA
- Always Home Nursing Services IncCertificate of Waiver, Home health agency05D1024931
- Antelope Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0930590
- Brandtgroup Homes Inc DBA Jean Martin HomesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2065858
- Brookdale Sylvan RanchCertificate of Waiver, Assisted living facility05D2298521
- CSL Plasma IncCertificate of Compliance, Other05D2284114
- California Medical Center IncCertificate of Waiver, Physician office05D2300208
- California Pain Specialists IncCertificate of Waiver, Physician office05D2211443
- Citrus Heights Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0687522
- Dignity Health Medical FoundationCertificate of Registration, Independent05D2174085
- Dispatchhealth-Ca, PCCertificate of Accreditation, Other05D2294446
Related
Questions
What is the CLIA number for Wellspace Health San Juan Community Health Center in Citrus Heights?
05D2090979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspace Health San Juan Community Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2090979 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.