CLIA lab

CLIA 05D2217871: North Bay Retirement Community

Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2217871 belongs to North Bay Retirement Community in Vallejo, CA.

Certificate of Waiver, effective March 24, 2025, expires March 23, 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 24, 2025
Certificate expiration
March 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 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
05D2217871
Lab name
North Bay Retirement Community
Address
2261 Tuolumne Street, Vallejo, CA 94589
Phone
(707) 552-3336
Fax
(707) 552-6138

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.

Other labs in Vallejo, CA

Related

Questions

What is the CLIA number for North Bay Retirement Community in Vallejo?

05D2217871, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does North Bay Retirement Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2217871 expire?

The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.

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