CLIA lab
CLIA 05D2033223: Pain & Rehabilitative Consultants Medical Group
Rohnert Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2033223 belongs to Pain & Rehabilitative Consultants Medical Group in Rohnert Park, CA.
Certificate of Waiver, effective November 28, 2025, expires November 27, 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
- November 28, 2025
- Certificate expiration
- November 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2011
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2033223
- Lab name
- Pain & Rehabilitative Consultants Medical Group
- Address
- 5789 State Farm Dr, Ste 195, Rohnert Park, CA 94928
- Phone
- (510) 647-5101
- Fax
- (510) 547-5105
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Rohnert Park, CA
- Concentra - Rohnert ParkCertificate of Waiver, Physician office05D1082939
- Rohnert Park Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2100777
- Rohnert Park Retirement CommunityCertificate of Waiver, Assisted living facility05D2217887
- ST. Joseph Mobile Health ClinicCertificate of Waiver, Mobile lab05D0944345
- Safeway Pharmacy # 0918Certificate of Waiver, Pharmacy05D2057765
- Satellite Healthcare Rohnert Park, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2063744
- Sonoma State UniversityCertificate of Compliance, School or student health service05D0703841
- Sutter Pacific Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0604492
- Tpmg Rohnert Park LaboratoryCertificate for Provider-Performed Microscopy Procedures, Ancillary test site05D1009732
- Walmart Pharmacy #10-1755Certificate of Waiver, Pharmacy05D2339969
Related
Questions
What is the CLIA number for Pain & Rehabilitative Consultants Medical Group in Rohnert Park?
05D2033223, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pain & Rehabilitative Consultants Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2033223 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.