CLIA lab

CLIA 05D2315929: Pacific Skin Institute

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

CLIA number 05D2315929 belongs to Pacific Skin Institute in Sacramento, CA.

Certificate of Waiver, effective December 20, 2024, expires December 19, 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 of Waiver
Certificate effective
December 20, 2024
Certificate expiration
December 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 20, 2024
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2315929
Lab name
Pacific Skin Institute
Address
1491 River Park Dr Ste 101, Sacramento, CA 95815
Phone
(916) 925-7020

Annual test volume the lab reported

Waived tests
1,700

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

Affiliated CLIA numbers

Other labs in Sacramento, CA

Related

Questions

What is the CLIA number for Pacific Skin Institute in Sacramento?

05D2315929, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pacific Skin Institute hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2315929 expire?

The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.

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