CLIA lab
CLIA 05D0935304: Sutter Pacific Medical Foundation
Healdsburg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0935304 belongs to Sutter Pacific Medical Foundation in Healdsburg, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 1, 2025, expires March 31, 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
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 1997
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0935304
- Lab name
- Sutter Pacific Medical Foundation
- Address
- 717 Center Street, Healdsburg, CA 95448
- Phone
- (707) 523-7220
- Fax
- (707) 523-7277
Annual test volume the lab reported
- Waived tests
- 3,500
- Provider-performed microscopy tests
- 1,700
- Total
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Healdsburg, CA
- Alliance Medical CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0716780
- Brad Drexler MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0721919
- Healdsburg Hospital DBA Norcal Healthconnect LLCCertificate of Accreditation, Hospital05D0612111
- Healdsburg Hospital, HPG DBA Norcal HealthconnectCertificate of Waiver, Physician office05D0691807
- Northern California WoundCertificate of Waiver, Ancillary test site05D2159728
- R Steven Vargas MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0612077
- Rachel MayorgaCertificate of Waiver, Physician office05D2109870
- Redwood Empire DermatologyCertificate of Compliance, Physician office05D2150673
- Richard J Andolsen MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0612074
- Safeway Pharmacy #0998Certificate of Waiver, Pharmacy05D2059511
Related
Questions
What is the CLIA number for Sutter Pacific Medical Foundation in Healdsburg?
05D0935304, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Pacific Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0935304 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.