CLIA lab

CLIA 05D2190925: Sacramento Ent-Fair Oaks

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

CLIA number 05D2190925 belongs to Sacramento Ent-Fair Oaks in Fair Oaks, CA.

Certificate of Waiver, effective August 20, 2026, expires August 19, 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
August 20, 2026
Certificate expiration
August 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 20, 2020
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
05D2190925
Lab name
Sacramento Ent-Fair Oaks
Address
6600 Mercy Court Ste 180, Fair Oaks, CA 95628
Phone
(916) 736-3399
Fax
(916) 736-3350

Annual test volume the lab reported

Waived tests
20

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

Other labs in Fair Oaks, CA

Related

Questions

What is the CLIA number for Sacramento Ent-Fair Oaks in Fair Oaks?

05D2190925, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sacramento Ent-Fair Oaks hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2190925 expire?

The CMS file lists August 19, 2028 as the certificate expiration date; the certificate took effect August 20, 2026.

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