CLIA lab
CLIA 05D2269064: Cvs/Pharmacy #09393
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2269064 belongs to Cvs/Pharmacy #09393 in Santa Rosa, CA.
Certificate of Waiver, effective September 20, 2026, expires September 19, 2028.
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
- September 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2022
- Facility type
- Pharmacy
- 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
- 05D2269064
- Lab name
- Cvs/Pharmacy #09393
- Address
- 2075 Mendocino Ave, Santa Rosa, CA 95401
- Phone
- (866) 389-2727
- Fax
- (401) 652-1360
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anjani Thakur , MD. Inc.Certificate of Waiver, Physician office05D2278394
- 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
- Bridges Pregnancy ClinicCertificate of Waiver, Community clinic05D0978274
- Brookdale ChanateCertificate of Waiver, Assisted living facility05D2215559
Related
Questions
What is the CLIA number for Cvs/Pharmacy #09393 in Santa Rosa?
05D2269064, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cvs/Pharmacy #09393 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2269064 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.