CLIA lab
CLIA 05D2110359: Blossom Ridge Long Term Care Facility
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2110359 belongs to Blossom Ridge Long Term Care Facility in Elk Grove, CA.
Certificate of Waiver, effective March 14, 2026, expires March 13, 2028.
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
- March 14, 2026
- Certificate expiration
- March 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 2016
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2110359
- Lab name
- Blossom Ridge Long Term Care Facility
- Address
- 10143 Blossom Ridge Dr, Elk Grove, CA 95757
- Phone
- (916) 284-4129
- Fax
- (916) 647-3425
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Elk Grove, CA
- All Inclusive Medical Services Urgent Care, IncCertificate of Waiver, Other05D2321414
- Alpine Management Enterprises IncCertificate of Waiver, Home health agency05D2165852
- Capitol Hospice CareCertificate of Waiver, Hospice05D2182100
- Caremeridian-Elk GroveCertificate of Waiver, Other05D1089789
- Clinical Health Appraisals, IncCertificate of Waiver, Health fair05D0910365
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2033270
- Customcare Home Health Services IncCertificate of Waiver, Home health agency05D2044489
- Cvs/Pharmacy #00182Certificate of Waiver, Pharmacy05D2268812
- Diamond House DetoxCertificate of Waiver, Other05D2136149
- Diamond House DetoxCertificate of Waiver, Other05D2176864
Related
Questions
What is the CLIA number for Blossom Ridge Long Term Care Facility in Elk Grove?
05D2110359, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blossom Ridge Long Term Care Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2110359 expire?
The CMS file lists March 13, 2028 as the certificate expiration date; the certificate took effect March 14, 2026.