CLIA lab
CLIA 05D2341512: Missouri Flat Dental Group
Placerville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2341512 belongs to Missouri Flat Dental Group in Placerville, CA.
Certificate of Waiver, effective April 2, 2026, expires April 1, 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
- April 2, 2026
- Certificate expiration
- April 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 2, 2026
- Facility type
- Other practitioner
- 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
- 05D2341512
- Lab name
- Missouri Flat Dental Group
- Address
- 3967 Missouri Flat Rd, Ste 120, Placerville, CA 95667
- Phone
- (530) 642-2876
- Fax
- (916) 725-4560
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 Placerville, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2162086
- Berman Skin Institute Medical Group, IncCertificate of Registration, Physician office05D2178196
- Doctors Office Lab,theCertificate of Waiver, Physician office05D0899464
- El Dorado Community Health CenterCertificate of Waiver, Federally qualified health center05D1012075
- El Dorado County - PlacervilleCertificate of Waiver, Other05D2268254
- El Dorado County EMS AgencyCertificate of Waiver, Ambulance05D0867396
- El Dorado County Public Health DeptCertificate of Waiver, Community clinic05D0666562
- El Dorado County,Certificate of Waiver, Other05D2142194
- El Dorado County, Placerville Main JailCertificate of Waiver, Other05D2142193
- El Dorado Pathology Medical GroupCertificate of Accreditation, Independent05D0644136
Related
Questions
What is the CLIA number for Missouri Flat Dental Group in Placerville?
05D2341512, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Missouri Flat Dental Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2341512 expire?
The CMS file lists April 1, 2028 as the certificate expiration date; the certificate took effect April 2, 2026.