CLIA lab
CLIA 05D2174080: Core Medical Clinic
West Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2174080 belongs to Core Medical Clinic in West Sacramento, CA.
Certificate of Waiver, effective October 23, 2025, expires October 22, 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
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2019
- Facility type
- Other
- 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
- 05D2174080
- Lab name
- Core Medical Clinic
- Address
- 3990 Industrial Boulevard, West Sacramento, CA 95691
- Phone
- (916) 796-0020
- Fax
- (916) 796-0045
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.
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Related
Questions
What is the CLIA number for Core Medical Clinic in West Sacramento?
05D2174080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Core Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2174080 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.