CLIA lab
CLIA 05D2166065: Sutter Pacific Medical Foundation
Novato, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2166065 belongs to Sutter Pacific Medical Foundation in Novato, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 10, 2025, expires May 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
- May 10, 2025
- Certificate expiration
- May 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2019
- Facility type
- Ancillary test site
- 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
- 05D2166065
- Lab name
- Sutter Pacific Medical Foundation
- Address
- 165 Rowland Way Ste 201, Novato, CA 94945
- Phone
- (707) 523-7220
- Fax
- (707) 523-7277
Annual test volume the lab reported
- Waived tests
- 3,500
- Provider-performed microscopy tests
- 250
- Total
- 3,750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Golden Gate Pharmacy ServicesCertificate of Waiver, Pharmacy05D2345353
- Golden Gate RecoveryCertificate of Waiver, Comprehensive outpatient rehab facility05D2287149
- Heart of Humanity Health Services, IncCertificate of Waiver, Home health agency05D2350508
- Heartwood House, LLCCertificate of Waiver, Other05D2279178
- Honeycomb Wellness Center LLCCertificate of Waiver, Comprehensive outpatient rehab facility05D2330596
- Kaiser San Rafael Home HealthCertificate of Waiver, Home health agency05D0972730
Related
Questions
What is the CLIA number for Sutter Pacific Medical Foundation in Novato?
05D2166065, 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 05D2166065 expire?
The CMS file lists May 9, 2027 as the certificate expiration date; the certificate took effect May 10, 2025.