CLIA lab
CLIA 05D0605021: North Bay Dermatology Associates
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0605021 belongs to North Bay Dermatology Associates in Petaluma, CA.
Certificate of Compliance, effective April 25, 2025, expires April 24, 2027.
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 Compliance
- Certificate effective
- April 25, 2025
- Certificate expiration
- April 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0605021
- Lab name
- North Bay Dermatology Associates
- Address
- 106 Lynch Creek Way, Ste 8, Petaluma, CA 94954
- Phone
- (707) 763-6816
- Fax
- (707) 763-1730
Annual test volume the lab reported
- Waived tests
- 50
- Other nonwaived tests
- 1,400
- Total
- 1,450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Petaluma, CA
- Accentcare Home Health of CaCertificate of Waiver, Home health agency05D2010775
- Attenda Medical GroupCertificate of Waiver, Physician office05D2169114
- Bridge Home Health East Bay LLCCertificate of Waiver, Home health agency05D2159896
- Continuum Care Hospice, LLCCertificate of Waiver, Hospice05D2155281
- David Chappell MD Medical CorporationCertificate of Waiver, Physician office05D0947611
- Dermatology Associates of the Bay AreaCertificate of Compliance, Physician office05D0691718
- Institute for Health Management, IncCertificate of Waiver, Physician office05D0868551
- Longhorn Ridge RecoveryCertificate of Waiver, Other05D2336124
- Muir Wood Adolescent and Family ServicesCertificate of Waiver, Other05D2089303
- Muir Wood Adolescent and Family ServicesCertificate of Waiver, Ancillary test site05D2320127
Related
Questions
What is the CLIA number for North Bay Dermatology Associates in Petaluma?
05D0605021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Bay Dermatology Associates hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0605021 expire?
The CMS file lists April 24, 2027 as the certificate expiration date; the certificate took effect April 25, 2025.