CLIA lab
CLIA 05D1103038: Nikola Lozanov MD, Inc
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1103038 belongs to Nikola Lozanov MD, Inc in Petaluma, CA.
Certificate for Provider-Performed Microscopy Procedures, effective July 31, 2025, expires July 30, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 31, 2025
- Certificate expiration
- July 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2009
- 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
- 05D1103038
- Lab name
- Nikola Lozanov MD, Inc
- Address
- 108 Lynch Creek Way #4, Petaluma, CA 94954
- Phone
- (707) 782-1244
- Fax
- (707) 782-1163
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 25
- Total
- 525
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Continuum Care Hospice, LLCCertificate of Waiver, Hospice05D2155281
- David Chappell MD Medical CorporationCertificate of Waiver, Physician office05D0947611
- Dermatology Associates of the Bay AreaCertificate of Compliance, Physician office05D0691718
- Institute for Health Management, IncCertificate of Waiver, Physician office05D0868551
- Longhorn Ridge RecoveryCertificate of Waiver, Other05D2336124
- Muir Wood Adolescent and Family ServicesCertificate of Waiver, Other05D2089303
- Muir Wood Adolescent and Family ServicesCertificate of Waiver, Ancillary test site05D2320127
Related
Questions
What is the CLIA number for Nikola Lozanov MD, Inc in Petaluma?
05D1103038, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nikola Lozanov MD, Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1103038 expire?
The CMS file lists July 30, 2027 as the certificate expiration date; the certificate took effect July 31, 2025.