CLIA lab
CLIA 05D0611472: FMC Dialysis of Santa Rosa
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0611472 belongs to FMC Dialysis of Santa Rosa in Santa Rosa, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 1993
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D0611472
- Lab name
- FMC Dialysis of Santa Rosa
- Address
- 1020 Second Street, Santa Rosa, CA 95404
- Phone
- (707) 527-5350
- Fax
- (707) 575-4649
Annual test volume the lab reported
- Waived tests
- 1,560
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- BMA Santa RosaCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for FMC Dialysis of Santa Rosa in Santa Rosa?
05D0611472, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does FMC Dialysis of Santa Rosa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0611472 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.