CLIA lab

CLIA 05D2280430: Dignity Health Medical Foundation

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

CLIA number 05D2280430 belongs to Dignity Health Medical Foundation in Roseville, CA.

Certificate of Waiver, effective April 19, 2025, expires April 18, 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 Waiver
Certificate effective
April 19, 2025
Certificate expiration
April 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 19, 2023
Facility type
Physician office
Ownership (control type)
Other
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
05D2280430
Lab name
Dignity Health Medical Foundation
Address
3980 Douglas Blvd, Ste 110, Roseville, CA 95661
Phone
(916) 379-2861
Fax
(916) 858-3205

Annual test volume the lab reported

Waived tests
1,500

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

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Related

Questions

What is the CLIA number for Dignity Health Medical Foundation in Roseville?

05D2280430, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dignity Health Medical Foundation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2280430 expire?

The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.

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