CLIA lab

CLIA 05D0714403: Petaluma Post Acute Rehabilitation

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

CLIA number 05D0714403 belongs to Petaluma Post Acute Rehabilitation in Petaluma, 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
July 23, 1994
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Proprietary
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
05D0714403
Lab name
Petaluma Post Acute Rehabilitation
Address
1115 B Street, Petaluma, CA 94952
Phone
(707) 765-3030

Annual test volume the lab reported

Waived tests
1,200

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

Care facility at this address

Other labs in Petaluma, CA

Related

Questions

What is the CLIA number for Petaluma Post Acute Rehabilitation in Petaluma?

05D0714403, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Petaluma Post Acute Rehabilitation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0714403 expire?

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

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