CLIA lab
CLIA 05D2000864: Sutter Pacific Medical Foundation
Novato, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2000864 belongs to Sutter Pacific Medical Foundation in Novato, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 10, 2025, expires December 9, 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
- December 10, 2025
- Certificate expiration
- December 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D2000864
- Lab name
- Sutter Pacific Medical Foundation
- Address
- 101 Rowland Way Ste 220, Novato, CA 94945
- Phone
- (707) 523-7220
- Fax
- (707) 523-7277
Annual test volume the lab reported
- Waived tests
- 3,000
- Provider-performed microscopy tests
- 500
- Total
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Kaiser San Rafael Home HealthCertificate of Waiver, Home health agency05D0972730
Related
Questions
What is the CLIA number for Sutter Pacific Medical Foundation in Novato?
05D2000864, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Pacific Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2000864 expire?
The CMS file lists December 9, 2027 as the certificate expiration date; the certificate took effect December 10, 2025.