CLIA lab

CLIA 05D0612311: Apple Valley Post - Acute Rehab

Sebastopol, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0612311 belongs to Apple Valley Post - Acute Rehab in Sebastopol, 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
January 29, 1993
Facility type
Skilled nursing or nursing facility
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
05D0612311
Lab name
Apple Valley Post - Acute Rehab
Address
1035 Gravenstein Hway S, Sebastopol, CA 95472
Phone
(707) 823-7675
Fax
(707) 823-3768

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.

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Related

Questions

What is the CLIA number for Apple Valley Post - Acute Rehab in Sebastopol?

05D0612311, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Apple Valley Post - Acute Rehab hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0612311 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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