CLIA lab
CLIA 05D2286202: Ivy Park of Roseville
Roseville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2286202 belongs to Ivy Park of Roseville in Roseville, CA.
Certificate of Waiver, effective July 25, 2025, expires July 24, 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
- July 25, 2025
- Certificate expiration
- July 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2023
- Facility type
- Assisted living facility
- 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
- 05D2286202
- Lab name
- Ivy Park of Roseville
- Address
- 5161 Foothills Blvd, Roseville, CA 95747
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Roseville, CA
- A Womans PlaceCertificate of Waiver, Physician office05D0915244
- Advanced Home Health and Hospice IncCertificate of Waiver, Home health agency05D2044996
- Advanced Home Health, IncCertificate of Waiver, Home health agency05D1080221
- Advanced Pain Diagnostic & SolutionsCertificate of Accreditation, Physician office05D2065692
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0687002
- Alan Semion IncCertificate of Compliance, Physician office05D0614290
- Allergy Center at SacramentoCertificate of Waiver, Physician office05D2089396
- American Guardian Home Health IncCertificate of Waiver, Home health agency05D2319853
- Anna P Abalos, MD, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D2016784
- Arias Hospice Care IncCertificate of Waiver, Hospice05D2199161
Related
Questions
What is the CLIA number for Ivy Park of Roseville in Roseville?
05D2286202, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park of Roseville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2286202 expire?
The CMS file lists July 24, 2027 as the certificate expiration date; the certificate took effect July 25, 2025.