CLIA lab
CLIA 05D2202692: Ucdmg Davis Campus Clinic
Davis, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2202692 belongs to Ucdmg Davis Campus Clinic in Davis, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 30, 2024, expires November 29, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 2020
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2202692
- Lab name
- Ucdmg Davis Campus Clinic
- Address
- 684 Hutchinson Drive, Davis, CA 95616
- Phone
- (530) 297-2330
- Fax
- (530) 297-2354
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 100
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Davis, CA
- Advanced Pain Diagnostic & SolutionsCertificate of Waiver, Physician office05D2178263
- Capital Sexual Health DBA Davis Sexual HealthCertificate for Provider-Performed Microscopy Procedures, Physician office05D2336153
- Courtyard Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0613758
- Davis Urgent CareCertificate of Waiver, Other05D2100062
- Davis Urgent CareCertificate of Waiver, Physician office05D2264373
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0984604
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2066697
- Jesse G Defrese DCCertificate of Waiver, Physician office05D2091158
- Pain and Rehabilitative ConsultantsCertificate of Waiver, Physician office05D2287842
- Sutter Davis HospitalCertificate of Accreditation, Hospital05D0613795
Related
Questions
What is the CLIA number for Ucdmg Davis Campus Clinic in Davis?
05D2202692, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ucdmg Davis Campus Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2202692 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.