CLIA lab

CLIA 05D2158784: Family Medicine & Ambulatory Care

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

CLIA number 05D2158784 belongs to Family Medicine & Ambulatory Care in Fair Oaks, CA.

Certificate of Waiver, effective December 6, 2024, expires December 5, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 6, 2024
Certificate expiration
December 5, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 2018
Facility type
Physician office
Ownership (control type)
Government, federal
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
05D2158784
Lab name
Family Medicine & Ambulatory Care
Additional name
Center Inc
Address
6600 Mercy Court Suite 100, Fair Oaks, CA 95628
Phone
(916) 967-7285
Fax
(916) 967-7289

Annual test volume the lab reported

Waived tests
300

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

Other labs in Fair Oaks, CA

Related

Questions

What is the CLIA number for Family Medicine & Ambulatory Care in Fair Oaks?

05D2158784, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Medicine & Ambulatory Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2158784 expire?

The CMS file lists December 5, 2026 as the certificate expiration date; the certificate took effect December 6, 2024.

Try it on your own data today.

Free to start. Most teams are using it the same day.