CLIA lab
CLIA 05D0868551: Institute for Health Management, Inc
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0868551 belongs to Institute for Health Management, Inc 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
- May 10, 1993
- Facility type
- Physician office
- 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
- 05D0868551
- Lab name
- Institute for Health Management, Inc
- Address
- 715 Southpoint Blvd Suite C, Petaluma, CA 94954
- Phone
- (707) 778-6019
- Fax
- (707) 778-6068
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
- Muir Wood Adolescent and Family ServicesCertificate of Waiver, Ancillary test site05D2320841
Related
Questions
What is the CLIA number for Institute for Health Management, Inc in Petaluma?
05D0868551, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Institute for Health Management, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0868551 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.