CLIA lab

CLIA 05D2268254: El Dorado County - Placerville

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

CLIA number 05D2268254 belongs to El Dorado County - Placerville in Placerville, CA.

Certificate of Waiver, effective September 8, 2026, expires September 7, 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
September 8, 2026
Certificate expiration
September 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 2022
Facility type
Other
Ownership (control type)
Proprietary
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
05D2268254
Lab name
El Dorado County - Placerville
Address
330 Fair Lane, Placerville, CA 95667
Phone
(530) 621-6084
Fax
(650) 396-3046

Annual test volume the lab reported

Waived tests
20,800

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

Affiliated CLIA numbers

Other labs in Placerville, CA

Related

Questions

What is the CLIA number for El Dorado County - Placerville in Placerville?

05D2268254, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does El Dorado County - Placerville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2268254 expire?

The CMS file lists September 7, 2028 as the certificate expiration date; the certificate took effect September 8, 2026.

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