CLIA lab
CLIA 05D2294618: Integrated Dermatology of Santa Rosa
Santa Rosa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2294618 belongs to Integrated Dermatology of Santa Rosa in Santa Rosa, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 28, 2025, expires November 27, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 28, 2025
- Certificate expiration
- November 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2294618
- Lab name
- Integrated Dermatology of Santa Rosa
- Address
- 4739 Hoen Ave, Santa Rosa, CA 95405
- Phone
- (925) 789-0957
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 50
- Total
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Santa Rosa, CA
- 151 Sotoyme Hospital DBACertificate of Waiver, Hospital05D2135659
- 4th Street Laser & Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1008140
- Advanced Home Health Northbay, IncCertificate of Waiver, Home health agency05D2068496
- 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 Integrated Dermatology of Santa Rosa in Santa Rosa?
05D2294618, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Integrated Dermatology of Santa Rosa hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2294618 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.