CLIA lab

CLIA 05D2178254: Javidan Urology Inc

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

CLIA number 05D2178254 belongs to Javidan Urology Inc in Folsom, CA.

Certificate of Waiver, effective January 29, 2026, expires January 28, 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
January 29, 2026
Certificate expiration
January 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 29, 2020
Facility type
Community clinic
Ownership (control type)
Government, city
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
05D2178254
Lab name
Javidan Urology Inc
Address
2360 East Bidwell Street Suite 107, Folsom, CA 95630
Phone
(916) 936-1010
Fax
(916) 936-1414

Annual test volume the lab reported

Waived tests
500

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

Other labs in Folsom, CA

Related

Questions

What is the CLIA number for Javidan Urology Inc in Folsom?

05D2178254, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Javidan Urology Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2178254 expire?

The CMS file lists January 28, 2028 as the certificate expiration date; the certificate took effect January 29, 2026.

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