CLIA lab
CLIA 05D2293862: Providence Medical Group Urgent Care
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2293862 belongs to Providence Medical Group Urgent Care in Santa Rosa, CA.
Certificate of Waiver, effective November 15, 2025, expires November 14, 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
- November 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 15, 2023
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2293862
- Lab name
- Providence Medical Group Urgent Care
- Additional name
- Sonoma
- Address
- 500 Doyle Park Dr, Suite 106, Santa Rosa, CA 95405
- Phone
- (707) 921-2500
- Fax
- (707) 303-9225
Annual test volume the lab reported
- Waived tests
- 7,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Providence Medical Group Urgent Care in Santa Rosa?
05D2293862, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group Urgent Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2293862 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.