CLIA lab
CLIA 05D0663182: US Coastguard Training Center Petaluma
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0663182 belongs to US Coastguard Training Center Petaluma in Petaluma, CA.
Certificate of Waiver, effective January 11, 2025, expires January 10, 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 Waiver
- Certificate effective
- January 11, 2025
- Certificate expiration
- January 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 1993
- Facility type
- Ancillary test site
- Ownership (control type)
- Government, federal
- 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
- 05D0663182
- Lab name
- US Coastguard Training Center Petaluma
- Additional name
- Health Services Clinic
- Address
- 599 Tomales Road, Petaluma, CA 94952
- Phone
- (609) 898-6285
- Fax
- (609) 898-6979
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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- 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 US Coastguard Training Center Petaluma in Petaluma?
05D0663182, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does US Coastguard Training Center Petaluma hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0663182 expire?
The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.