CLIA lab

CLIA 05D2189007: Elica Health Centers - Mack Road

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

CLIA number 05D2189007 belongs to Elica Health Centers - Mack Road in Sacramento, CA.

Certificate of Waiver, effective July 24, 2026, expires July 23, 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
July 24, 2026
Certificate expiration
July 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 24, 2020
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
9

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2189007
Lab name
Elica Health Centers - Mack Road
Address
6339 Mack Road, Sacramento, CA 95823
Phone
(916) 454-2345
Fax
(916) 550-5003

Annual test volume the lab reported

Waived tests
2,800

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

Affiliated CLIA numbers

Other labs in Sacramento, CA

Related

Questions

What is the CLIA number for Elica Health Centers - Mack Road in Sacramento?

05D2189007, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Elica Health Centers - Mack Road hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2189007 expire?

The CMS file lists July 23, 2028 as the certificate expiration date; the certificate took effect July 24, 2026.

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