CLIA lab

CLIA 05D0919899: Petaluma Health Center

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

CLIA number 05D0919899 belongs to Petaluma Health Center in Petaluma, CA.

Certificate for Provider-Performed Microscopy Procedures, effective August 12, 2025, expires August 11, 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 for Provider-Performed Microscopy Procedures
Certificate effective
August 12, 2025
Certificate expiration
August 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 19, 1996
Facility type
Federally qualified health center
Ownership (control type)
Other
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
05D0919899
Lab name
Petaluma Health Center
Address
1179 N Mcdowell Blvd, Petaluma, CA 94954
Phone
(707) 559-7500
Fax
(707) 559-7707

Annual test volume the lab reported

Waived tests
2,800
Provider-performed microscopy tests
120
Total
2,920

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

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Related

Questions

What is the CLIA number for Petaluma Health Center in Petaluma?

05D0919899, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Petaluma Health Center hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0919899 expire?

The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.

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