CLIA lab
CLIA 05D2100777: Rohnert Park Health Center
Rohnert Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2100777 belongs to Rohnert Park Health Center in Rohnert Park, CA.
Certificate for Provider-Performed Microscopy Procedures, effective August 21, 2025, expires August 20, 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
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2015
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D2100777
- Lab name
- Rohnert Park Health Center
- Address
- 5900 State Farm Dr Ste 200, Rohnert Park, CA 94928
- Phone
- (707) 559-7600
- Fax
- (707) 559-7707
Annual test volume the lab reported
- Waived tests
- 600
- Provider-performed microscopy tests
- 200
- Total
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rohnert Park, CA
- Concentra - Rohnert ParkCertificate of Waiver, Physician office05D1082939
- Pain & Rehabilitative Consultants Medical GroupCertificate of Waiver, Physician office05D2033223
- 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 Rohnert Park Health Center in Rohnert Park?
05D2100777, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rohnert Park Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2100777 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.