CLIA lab
CLIA 05D1084388: North Coast Medical Center, Inc
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1084388 belongs to North Coast Medical Center, Inc in Santa Rosa, CA.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2008
- 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
- 05D1084388
- Lab name
- North Coast Medical Center, Inc
- Address
- 2465 Summerfield Rd, Santa Rosa, CA 95405
- Phone
- (707) 546-7979
- Fax
- (707) 546-7667
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for North Coast Medical Center, Inc in Santa Rosa?
05D1084388, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Coast Medical Center, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1084388 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.