CLIA lab
CLIA 05D2344032: Madison Modern Dentistry
Fair Oaks, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2344032 belongs to Madison Modern Dentistry in Fair Oaks, CA.
Certificate of Waiver, effective May 15, 2026, expires May 14, 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
- May 15, 2026
- Certificate expiration
- May 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 15, 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
- 05D2344032
- Lab name
- Madison Modern Dentistry
- Address
- 5315 Sunrise Blvd, Fair Oaks, CA 95628
- Phone
- (916) 530-2484
- Fax
- (916) 514-5575
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.
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- Allen E Priest JR MDCertificate of Waiver, Physician office05D0613955
- Apex Research Group, LLCCertificate of Waiver, Other05D2284897
- Barton Hall LLCCertificate of Waiver, Other05D2279228
- Dahlia Bu MDCertificate of Waiver, Physician office05D0941047
- Eskaton Care Center-Fair OaksCertificate of Waiver, Skilled nursing or nursing facility05D0887117
- Family Medicine & Ambulatory CareCertificate of Waiver, Physician office05D2158784
- Healthy Living Primary CareCertificate of Waiver, Physician office05D2126227
Related
Questions
What is the CLIA number for Madison Modern Dentistry in Fair Oaks?
05D2344032, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Madison Modern Dentistry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2344032 expire?
The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.