CLIA lab

CLIA 05D2106623: Broadway Dialysis

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

CLIA number 05D2106623 belongs to Broadway Dialysis in Sacramento, CA.

Certificate of Waiver, effective December 22, 2025, expires December 21, 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
December 22, 2025
Certificate expiration
December 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 2015
Facility type
End stage renal disease dialysis facility
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
05D2106623
Lab name
Broadway Dialysis
Address
2624 Stockton Blvd, Sacramento, CA 95817
Phone
(916) 457-0013
Fax
(916) 457-0116

Annual test volume the lab reported

Waived tests
13,832

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

Care facility at this address

Other labs in Sacramento, CA

Related

Questions

What is the CLIA number for Broadway Dialysis in Sacramento?

05D2106623, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Broadway Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2106623 expire?

The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.

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