CLIA lab
CLIA 05D0612074: Richard J Andolsen MD
Healdsburg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0612074 belongs to Richard J Andolsen MD in Healdsburg, CA.
Certificate for Provider-Performed Microscopy Procedures, effective March 7, 2025, expires March 6, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 7, 2025
- Certificate expiration
- March 6, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0612074
- Lab name
- Richard J Andolsen MD
- Address
- 465-A March Ave, Healdsburg, CA 95448
- Phone
- (707) 433-3369
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Related
Questions
What is the CLIA number for Richard J Andolsen MD in Healdsburg?
05D0612074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Richard J Andolsen MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0612074 expire?
The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.