CLIA lab
CLIA 05D0683698: Permanente Medical Group Inc, the
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0683698 belongs to Permanente Medical Group Inc, the in Petaluma, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 30, 2024, expires November 29, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- November 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0683698
- Lab name
- Permanente Medical Group Inc, the
- Additional name
- Petaluma Laboratory
- Address
- 3900 Lakeville Highway, Petaluma, CA 94954
- Phone
- (415) 444-2019
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 2,000
- Total
- 2,500
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 Permanente Medical Group Inc, the in Petaluma?
05D0683698, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Permanente Medical Group Inc, the hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0683698 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.