CLIA lab
CLIA 05D2211924: MFC Lab Santa Rosa
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2211924 belongs to MFC Lab Santa Rosa in Santa Rosa, CA.
Certificate of Waiver, effective February 1, 2025, expires January 31, 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
- February 1, 2025
- Certificate expiration
- January 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 2021
- 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
- 05D2211924
- Lab name
- MFC Lab Santa Rosa
- Address
- 3452 Mendocino Avenue Suite A, Santa Rosa, CA 95403
- Phone
- (415) 925-9404
- Fax
- (415) 925-9410
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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- Arbol Healthcare Center of Santa RosaCertificate of Waiver, Skilled nursing or nursing facility05D0985872
- ArtemedicaCertificate of Waiver, Physician office05D2030692
- Aurora Behavioral HealthcareCertificate of Waiver, Other05D2053033
- Bennett Valley ICF DD H IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0998299
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Related
Questions
What is the CLIA number for MFC Lab Santa Rosa in Santa Rosa?
05D2211924, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MFC Lab Santa Rosa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2211924 expire?
The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.