CLIA lab
CLIA 05D1096007: Ensign Sonoma, LLC DBA Broadway Villa Post Acute
Sonoma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1096007 belongs to Ensign Sonoma, LLC DBA Broadway Villa Post Acute in Sonoma, CA.
Certificate of Waiver, effective February 23, 2025, expires February 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
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2009
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D1096007
- Lab name
- Ensign Sonoma, LLC DBA Broadway Villa Post Acute
- Address
- 1250 Broadway, Sonoma, CA 95476
- Phone
- (707) 938-8406
- Fax
- (707) 938-4400
Annual test volume the lab reported
- Waived tests
- 1,858
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Broadway Villa Post AcuteCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Ensign Sonoma, LLC DBA Broadway Villa Post Acute in Sonoma?
05D1096007, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ensign Sonoma, LLC DBA Broadway Villa Post Acute hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1096007 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.