CLIA lab
CLIA 05D0962078: Sonoma Plaza Pediatrics Medical Group, Inc
Sonoma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0962078 belongs to Sonoma Plaza Pediatrics Medical Group, Inc in Sonoma, CA.
Certificate of Waiver, effective June 23, 2025, expires June 22, 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 of Waiver
- Certificate effective
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 1999
- 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
- 05D0962078
- Lab name
- Sonoma Plaza Pediatrics Medical Group, Inc
- Address
- 181 Andrieux Street Suite 208, Sonoma, CA 95476
- Phone
- (707) 935-9000
- Fax
- (707) 935-8374
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Guy Delorefice MD IncCertificate of Waiver, Physician office05D2129745
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- Medical Center for WomenCertificate for Provider-Performed Microscopy Procedures, Physician office05D0863949
- Safeway Pharmacy #0911Certificate of Waiver, Pharmacy05D2284916
- Sonoma DermatologyCertificate of Compliance, Physician office05D1036234
- Sonoma Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0862801
- Sonoma Retirement CommunityCertificate of Waiver, Assisted living facility05D2217873
Related
Questions
What is the CLIA number for Sonoma Plaza Pediatrics Medical Group, Inc in Sonoma?
05D0962078, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sonoma Plaza Pediatrics Medical Group, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0962078 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.