CLIA lab
CLIA 05D2152274: Sutter Pacific Medical Foundation
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2152274 belongs to Sutter Pacific Medical Foundation in Petaluma, CA.
Certificate for Provider-Performed Microscopy Procedures, effective August 7, 2026, expires August 6, 2028.
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 7, 2026
- Certificate expiration
- August 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 2018
- 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
- 05D2152274
- Lab name
- Sutter Pacific Medical Foundation
- Address
- 1383 N Mcdowell Blvd, Ste 150, Petaluma, CA 94954
- Phone
- (707) 523-7220
- Fax
- (707) 523-7277
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 300
- Total
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Accentcare Home Health of CaCertificate of Waiver, Home health agency05D2010775
- Attenda Medical GroupCertificate of Waiver, Physician office05D2169114
- Bridge Home Health East Bay LLCCertificate of Waiver, Home health agency05D2159896
- 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 Sutter Pacific Medical Foundation in Petaluma?
05D2152274, 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 05D2152274 expire?
The CMS file lists August 6, 2028 as the certificate expiration date; the certificate took effect August 7, 2026.