CLIA lab
CLIA 05D2180682: Elica Health Centers on Wheels 3
West Sacramento, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2180682 belongs to Elica Health Centers on Wheels 3 in West Sacramento, CA.
Certificate of Waiver, effective March 18, 2026, expires March 17, 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 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2020
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2180682
- Lab name
- Elica Health Centers on Wheels 3
- Additional name
- (Vin #4uzacmfc8jckg6989)
- Address
- 1276 Halyard Dr (van #3), West Sacramento, CA 95691
- Phone
- (916) 454-2345
- Fax
- (916) 550-5003
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in West Sacramento, CA
- Agile Occupational Medicine PCCertificate of Waiver, Physician office05D2342787
- Capital Ob/GynCertificate of Waiver, Physician office05D1088713
- Concentra Medical CentersCertificate of Waiver, Physician office05D0869599
- Core Medical ClinicCertificate of Waiver, Other05D2174080
- Elica Health CentersCertificate of Waiver, Federally qualified health center05D2229878
- Elica Health CentersCertificate of Waiver, Federally qualified health center05D2246801
- Elica Health Centers- Halyard Medical CenterCertificate of Waiver, Federally qualified health center05D2258571
- Garcia,lee and Concepcion Medical GRPCertificate for Provider-Performed Microscopy Procedures, Physician office05D0929600
- Heritage Oaks Hospital OutpatientCertificate of Waiver, Other05D2110215
- Kan-Di-Ki, LLCCertificate of Waiver, Mobile lab05D2342518
Related
Questions
What is the CLIA number for Elica Health Centers on Wheels 3 in West Sacramento?
05D2180682, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Elica Health Centers on Wheels 3 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2180682 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.