CLIA lab
CLIA 05D1077728: Eye Associates of Sebastopol
Sebastopol, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1077728 belongs to Eye Associates of Sebastopol in Sebastopol, CA.
Certificate of Compliance, effective September 25, 2024, expires October 31, 2026.
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 Compliance
- Certificate effective
- September 25, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1077728
- Lab name
- Eye Associates of Sebastopol
- Additional name
- Medical Group, Inc
- Address
- 6880 Palm Ave, Sebastopol, CA 95472
- Phone
- (707) 823-7628
- Fax
- (707) 823-1511
Annual test volume the lab reported
- Provider-performed microscopy tests
- 1
- Other nonwaived tests
- 250
- Total
- 251
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sebastopol, CA
- Apple Valley Post - Acute RehabCertificate of Waiver, Skilled nursing or nursing facility05D0612311
- Bohemian Concierge Care IncCertificate of Waiver, Physician office05D2244713
- DRS Pitzen & AndersenCertificate for Provider-Performed Microscopy Procedures, Physician office05D0692031
- Providence Medical FoundationCertificate of Waiver, Physician office05D2084325
- Safeway Pharmacy #0933Certificate of Waiver, Pharmacy05D2058069
- Sebastopol Ambulatory Surgery CTR LPCertificate of Waiver, Ambulatory surgery center05D0895558
- Sonoma Specialty HospitalCertificate of Compliance, Hospital05D0612335
Related
Questions
What is the CLIA number for Eye Associates of Sebastopol in Sebastopol?
05D1077728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eye Associates of Sebastopol hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1077728 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 25, 2024.