CLIA lab
CLIA 05D2169114: Attenda Medical Group
Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2169114 belongs to Attenda Medical Group in Petaluma, CA.
Certificate of Waiver, effective November 10, 2025, expires November 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 of Waiver
- Certificate effective
- November 10, 2025
- Certificate expiration
- November 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D2169114
- Lab name
- Attenda Medical Group
- Address
- 1116 B Street, Petaluma, CA 94952
- Phone
- (707) 782-9123
- Fax
- (707) 545-5408
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Muir Wood Adolescent and Family ServicesCertificate of Waiver, Ancillary test site05D2320127
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Related
Questions
What is the CLIA number for Attenda Medical Group in Petaluma?
05D2169114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Attenda Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2169114 expire?
The CMS file lists November 9, 2027 as the certificate expiration date; the certificate took effect November 10, 2025.