CLIA lab
CLIA 05D0947611: David Chappell MD Medical Corporation
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0947611 belongs to David Chappell MD Medical Corporation in Petaluma, CA.
Certificate of Waiver, effective June 19, 2026, expires June 18, 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
- June 19, 2026
- Certificate expiration
- June 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 19, 1998
- 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
- 05D0947611
- Lab name
- David Chappell MD Medical Corporation
- Address
- 141 Lynch Creek Way, Ste A, Petaluma, CA 94954
- Phone
- (707) 762-0001
- Fax
- (707) 765-0666
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Continuum Care Hospice, LLCCertificate of Waiver, Hospice05D2155281
- Dermatology Associates of the Bay AreaCertificate of Compliance, Physician office05D0691718
- Institute for Health Management, IncCertificate of Waiver, Physician office05D0868551
- 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 David Chappell MD Medical Corporation in Petaluma?
05D0947611, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does David Chappell MD Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0947611 expire?
The CMS file lists June 18, 2028 as the certificate expiration date; the certificate took effect June 19, 2026.