CLIA lab

CLIA 05D0696402: Csi Medical Group - Santa Rosa

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

CLIA number 05D0696402 belongs to Csi Medical Group - Santa Rosa in Santa Rosa, CA.

Certificate of Compliance, effective January 22, 2023, expires October 31, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Compliance
Certificate effective
January 22, 2023
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
July 24, 1996
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0696402
Lab name
Csi Medical Group - Santa Rosa
Address
3562 Round Barn Circle, Ste 320, Santa Rosa, CA 95403
Phone
(707) 578-1900
Fax
(650) 969-0360

Annual test volume the lab reported

Waived tests
40
Provider-performed microscopy tests
10
Other nonwaived tests
430
Total
480

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Santa Rosa, CA

Related

Questions

What is the CLIA number for Csi Medical Group - Santa Rosa in Santa Rosa?

05D0696402, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Csi Medical Group - Santa Rosa hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D0696402 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect January 22, 2023.

Try it on your own data today.

Free to start. Most teams are using it the same day.