CLIA lab
CLIA 05D2217887: Rohnert Park Retirement Community
Rohnert Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2217887 belongs to Rohnert Park Retirement Community in Rohnert Park, 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
- 05D2217887
- Lab name
- Rohnert Park Retirement Community
- Address
- 4855 Snyder Lane, Rohnert Park, CA 94928
- Phone
- (707) 585-7878
- Fax
- (707) 206-0495
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 Rohnert Park, CA
- Concentra - Rohnert ParkCertificate of Waiver, Physician office05D1082939
- Pain & Rehabilitative Consultants Medical GroupCertificate of Waiver, Physician office05D2033223
- Rohnert Park Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2100777
- ST. Joseph Mobile Health ClinicCertificate of Waiver, Mobile lab05D0944345
- Safeway Pharmacy # 0918Certificate of Waiver, Pharmacy05D2057765
- Satellite Healthcare Rohnert Park, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2063744
- Sonoma State UniversityCertificate of Compliance, School or student health service05D0703841
- Sutter Pacific Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0604492
- Tpmg Rohnert Park LaboratoryCertificate for Provider-Performed Microscopy Procedures, Ancillary test site05D1009732
- Walmart Pharmacy #10-1755Certificate of Waiver, Pharmacy05D2339969
Related
Questions
What is the CLIA number for Rohnert Park Retirement Community in Rohnert Park?
05D2217887, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rohnert Park Retirement Community hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2217887 expire?
The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.