CLIA lab
CLIA 05D0895558: Sebastopol Ambulatory Surgery CTR LP
Sebastopol, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0895558 belongs to Sebastopol Ambulatory Surgery CTR LP in Sebastopol, CA.
Certificate of Waiver, effective December 12, 2024, expires December 11, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 12, 2024
- Certificate expiration
- December 11, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 1994
- Facility type
- Ambulatory surgery center
- 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
- 05D0895558
- Lab name
- Sebastopol Ambulatory Surgery CTR LP
- Address
- 6880 Palm Avenue, Sebastopol, CA 95472
- Phone
- (707) 823-7628
- Fax
- (707) 823-1521
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sebastopol, CA
- Apple Valley Post - Acute RehabCertificate of Waiver, Skilled nursing or nursing facility05D0612311
- Bohemian Concierge Care IncCertificate of Waiver, Physician office05D2244713
- DRS Pitzen & AndersenCertificate for Provider-Performed Microscopy Procedures, Physician office05D0692031
- Eye Associates of SebastopolCertificate of Compliance, Physician office05D1077728
- Providence Medical FoundationCertificate of Waiver, Physician office05D2084325
- Safeway Pharmacy #0933Certificate of Waiver, Pharmacy05D2058069
- Sonoma Specialty HospitalCertificate of Compliance, Hospital05D0612335
Related
Questions
What is the CLIA number for Sebastopol Ambulatory Surgery CTR LP in Sebastopol?
05D0895558, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sebastopol Ambulatory Surgery CTR LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0895558 expire?
The CMS file lists December 11, 2026 as the certificate expiration date; the certificate took effect December 12, 2024.