CLIA lab
CLIA 05D0604492: Sutter Pacific Medical Foundation
Rohnert Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0604492 belongs to Sutter Pacific Medical Foundation in Rohnert Park, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 9, 2026, expires May 8, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 9, 2026
- Certificate expiration
- May 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0604492
- Lab name
- Sutter Pacific Medical Foundation
- Address
- 6000 State Farm Drive, Rohnert Park, CA 94928
- Phone
- (707) 523-7220
- Fax
- (707) 523-7277
Annual test volume the lab reported
- Waived tests
- 9,000
- Provider-performed microscopy tests
- 350
- Total
- 9,350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rohnert Park, CA
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- Pain & Rehabilitative Consultants Medical GroupCertificate of Waiver, Physician office05D2033223
- Rohnert Park Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2100777
- Rohnert Park Retirement CommunityCertificate of Waiver, Assisted living facility05D2217887
- ST. Joseph Mobile Health ClinicCertificate of Waiver, Mobile lab05D0944345
- Safeway Pharmacy # 0918Certificate of Waiver, Pharmacy05D2057765
- Satellite Healthcare Rohnert Park, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2063744
- Sonoma State UniversityCertificate of Compliance, School or student health service05D0703841
- Tpmg Rohnert Park LaboratoryCertificate for Provider-Performed Microscopy Procedures, Ancillary test site05D1009732
- Walmart Pharmacy #10-1755Certificate of Waiver, Pharmacy05D2339969
Related
Questions
What is the CLIA number for Sutter Pacific Medical Foundation in Rohnert Park?
05D0604492, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Pacific Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0604492 expire?
The CMS file lists May 8, 2028 as the certificate expiration date; the certificate took effect May 9, 2026.