CLIA lab
CLIA 05D0706122: Providence Santa Rosa Memorial Hospital Lab
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0706122 belongs to Providence Santa Rosa Memorial Hospital Lab in Santa Rosa, CA.
Certificate of Accreditation, effective July 27, 2025, expires July 26, 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 Accreditation
- Certificate effective
- July 27, 2025
- Certificate expiration
- July 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 1993
- Facility type
- Hospital
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Accrediting organizations
- AABB, College of American Pathologists (CAP), The Joint Commission
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0706122
- Lab name
- Providence Santa Rosa Memorial Hospital Lab
- Additional name
- DBA Providence Santa Rosa Memorial Hospital
- Address
- 1165 Montgomery Drive, Santa Rosa, CA 95405
- Phone
- (707) 525-5300
- Fax
- (707) 522-1519
Annual test volume the lab reported
- Waived tests
- 79,000
- Tests under accreditation
- 3,073,000
- Total
- 3,152,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Providence Santa Rosa Memorial HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Santa Rosa, CA
- 151 Sotoyme Hospital DBACertificate of Waiver, Hospital05D2135659
- 4th Street Laser & Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1008140
- Advanced Home Health Northbay, IncCertificate of Waiver, Home health agency05D2068496
- Anjani Thakur , MD. Inc.Certificate of Waiver, Physician office05D2278394
- Arbol Healthcare Center of Santa RosaCertificate of Waiver, Skilled nursing or nursing facility05D0985872
- ArtemedicaCertificate of Waiver, Physician office05D2030692
- Aurora Behavioral HealthcareCertificate of Waiver, Other05D2053033
- Bennett Valley ICF DD H IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0998299
- Bridges Pregnancy ClinicCertificate of Waiver, Community clinic05D0978274
- Brookdale ChanateCertificate of Waiver, Assisted living facility05D2215559
Related
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- Providence Santa Rosa Memorial Hospital: CMS ratings
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- Home Health Agencies in Santa Rosa, CA
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- Dialysis Centers in Santa Rosa, CA
- Hospitals in Santa Rosa, CA
- NPI records in Santa Rosa, CA
- CLIA lookup
Questions
What is the CLIA number for Providence Santa Rosa Memorial Hospital Lab in Santa Rosa?
05D0706122, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Santa Rosa Memorial Hospital Lab hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D0706122 expire?
The CMS file lists July 26, 2027 as the certificate expiration date; the certificate took effect July 27, 2025.