CLIA lab
CLIA 05D2101251: Antelope Hills Manor Icf/Dd-N Inc
North Highlands, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2101251 belongs to Antelope Hills Manor Icf/Dd-N Inc in North Highlands, CA.
Certificate of Waiver, effective August 31, 2025, expires August 30, 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 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2015
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D2101251
- Lab name
- Antelope Hills Manor Icf/Dd-N Inc
- Additional name
- DBA Rivergreen Lodge Icf/Dd-N
- Address
- 7311 34th St, North Highlands, CA 95660
- Phone
- (916) 468-6349
- Fax
- (916) 468-6349
Annual test volume the lab reported
- Waived tests
- 48
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Highlands, CA
- Elica Health CentersCertificate of Waiver, Federally qualified health center05D2191792
- North Highlands Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0936929
- Walmart Pharmacy #10-4393Certificate of Waiver, Pharmacy05D2339899
- Wellspace Health North HighlandsCertificate of Waiver, Federally qualified health center05D2039438
Related
Questions
What is the CLIA number for Antelope Hills Manor Icf/Dd-N Inc in North Highlands?
05D2101251, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antelope Hills Manor Icf/Dd-N Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2101251 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.