CLIA lab
CLIA 05D2263079: Eric L. Ellis MD, Inc.
Granite Bay, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2263079 belongs to Eric L. Ellis MD, Inc. in Granite Bay, CA.
Certificate of Accreditation, effective April 22, 2025, expires April 21, 2027.
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 Accreditation
- Certificate effective
- April 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- 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
- 05D2263079
- Lab name
- Eric L. Ellis MD, Inc.
- Additional name
- DBA Granite Bay Urgent Care
- Address
- 5290 Douglas Blvd Ste 102, Granite Bay, CA 95746
- Phone
- (916) 570-7265
- Fax
- (916) 200-2412
Annual test volume the lab reported
- Waived tests
- 2,000
- Tests under accreditation
- 200
- Total
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Granite Bay, CA
- Caremeridian - Granite BayCertificate of Waiver, Other05D1088955
- Center for Discovery, SacramentoCertificate of Waiver, Other05D2098057
- Clark Plastic Surgery DBA Granite BayCertificate of Waiver, Ambulatory surgery center05D2124806
- Discovery Practice ManagementCertificate of Waiver, Other05D2275579
- Orisek and Mccaskill Medical Group IncCertificate of Registration, Physician office05D2312128
- Walgreens #06036Certificate of Waiver, Pharmacy05D2259226
Related
Questions
What is the CLIA number for Eric L. Ellis MD, Inc. in Granite Bay?
05D2263079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eric L. Ellis MD, Inc. hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D2263079 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.