CLIA lab
CLIA 05D1015301: Providence Santa Rosa Memorial Hospital
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1015301 belongs to Providence Santa Rosa Memorial Hospital in Santa Rosa, CA.
Certificate of Waiver, effective November 12, 2025, expires November 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 of Waiver
- Certificate effective
- November 12, 2025
- Certificate expiration
- November 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2003
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1015301
- Lab name
- Providence Santa Rosa Memorial Hospital
- Additional name
- Outpatient Surgery
- Address
- 525 Doyle Park Dr, 2nd Fl, Santa Rosa, CA 95405
- Phone
- (707) 547-4600
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Santa Rosa, CA
- 151 Sotoyme Hospital DBACertificate of Waiver, Hospital05D2135659
- 4th Street Laser & Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1008140
- Advanced Home Health Northbay, IncCertificate of Waiver, Home health agency05D2068496
- Anjani Thakur , MD. Inc.Certificate of Waiver, Physician office05D2278394
- Arbol Healthcare Center of Santa RosaCertificate of Waiver, Skilled nursing or nursing facility05D0985872
- ArtemedicaCertificate of Waiver, Physician office05D2030692
- Aurora Behavioral HealthcareCertificate of Waiver, Other05D2053033
- Bennett Valley ICF DD H IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0998299
- Bridges Pregnancy ClinicCertificate of Waiver, Community clinic05D0978274
- Brookdale ChanateCertificate of Waiver, Assisted living facility05D2215559
Related
Questions
What is the CLIA number for Providence Santa Rosa Memorial Hospital in Santa Rosa?
05D1015301, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Santa Rosa Memorial Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1015301 expire?
The CMS file lists November 11, 2027 as the certificate expiration date; the certificate took effect November 12, 2025.