CLIA lab
CLIA 05D2215451: Brookdale Paulin Creek
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2215451 belongs to Brookdale Paulin Creek in Santa Rosa, CA.
Certificate of Waiver, effective March 3, 2025, expires March 2, 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
- March 3, 2025
- Certificate expiration
- March 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 3, 2021
- Facility type
- Assisted living facility
- 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
- 05D2215451
- Lab name
- Brookdale Paulin Creek
- Address
- 2375 Range Ave, Santa Rosa, CA 95403
- Phone
- (707) 575-3722
- Fax
- (707) 575-1666
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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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- Brookdale ChanateCertificate of Waiver, Assisted living facility05D2215559
Related
Questions
What is the CLIA number for Brookdale Paulin Creek in Santa Rosa?
05D2215451, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdale Paulin Creek hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2215451 expire?
The CMS file lists March 2, 2027 as the certificate expiration date; the certificate took effect March 3, 2025.