CLIA lab
CLIA 05D2096513: Providence Medical Foundation
Windsor, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2096513 belongs to Providence Medical Foundation in Windsor, CA.
Certificate of Waiver, effective May 27, 2025, expires May 26, 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
- May 27, 2025
- Certificate expiration
- May 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2015
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2096513
- Lab name
- Providence Medical Foundation
- Address
- 8911 Lakewood Dr Ste 13, Windsor, CA 95492
- Phone
- (707) 387-3910
- Fax
- (707) 836-1942
Annual test volume the lab reported
- Waived tests
- 1,040
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Windsor, CA
- Alliance Medical Center - Windsor SiteCertificate of Waiver, Federally qualified health center05D2178256
- Brookdale WindsorCertificate of Waiver, Assisted living facility05D2212201
- Lakewood Recovery LLCCertificate of Waiver, Other05D2326490
- Pediatric Dental Initiative (Pdi) Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1072419
- Safeway Pharmacy #1434Certificate of Waiver, Pharmacy05D2059774
- Satellite Healthcare WindsorCertificate of Waiver, End stage renal disease dialysis facility05D1002707
- Walmart Pharmacy #10-2553Certificate of Waiver, Pharmacy05D2340696
Related
Questions
What is the CLIA number for Providence Medical Foundation in Windsor?
05D2096513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2096513 expire?
The CMS file lists May 26, 2027 as the certificate expiration date; the certificate took effect May 27, 2025.