CLIA lab
CLIA 05D2159779: Northern California Vasectomy
Elk Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2159779 belongs to Northern California Vasectomy in Elk Grove, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 26, 2024, expires December 25, 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
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- December 26, 2024
- Certificate expiration
- December 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 26, 2018
- Facility type
- Physician office
- 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
- 05D2159779
- Lab name
- Northern California Vasectomy
- Address
- 9045 Bruceville Road 100B, Elk Grove, CA 95758
- Phone
- (702) 610-1296
- Fax
- (916) 226-2656
Annual test volume the lab reported
- Waived tests
- 600
- Provider-performed microscopy tests
- 1,000
- Total
- 1,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Elk Grove, CA
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- Alpine Management Enterprises IncCertificate of Waiver, Home health agency05D2165852
- Blossom Ridge Long Term Care FacilityCertificate of Waiver, Other05D2110359
- 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
Related
Questions
What is the CLIA number for Northern California Vasectomy in Elk Grove?
05D2159779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern California Vasectomy hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2159779 expire?
The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.