CLIA lab
CLIA 05D2346612: Rcca Pheonix
Antelope, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2346612 belongs to Rcca Pheonix in Antelope, CA.
Certificate of Waiver, effective July 3, 2026, expires July 2, 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
- July 3, 2026
- Certificate expiration
- July 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 3, 2026
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, other
- 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
- 05D2346612
- Lab name
- Rcca Pheonix
- Address
- 8525 Meandering Way, Antelope, CA 95843
- Phone
- (916) 928-0220
- Fax
- (916) 928-0290
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Antelope, CA
Related
Questions
What is the CLIA number for Rcca Pheonix in Antelope?
05D2346612, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rcca Pheonix hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2346612 expire?
The CMS file lists July 2, 2028 as the certificate expiration date; the certificate took effect July 3, 2026.