CLIA lab

CLIA 05D2342977: Elk Grove Dental Group

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

CLIA number 05D2342977 belongs to Elk Grove Dental Group in Elk Grove, CA.

Certificate of Waiver, effective April 29, 2026, expires April 28, 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 29, 2026
Certificate expiration
April 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 29, 2026
Facility type
Other
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
05D2342977
Lab name
Elk Grove Dental Group
Address
9640 Bruceville Rd #101, Elk Grove, CA 95757
Phone
(916) 686-9030
Fax
(916) 686-9033

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 Elk Grove, CA

Related

Questions

What is the CLIA number for Elk Grove Dental Group in Elk Grove?

05D2342977, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Elk Grove Dental Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2342977 expire?

The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.

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