CLIA lab
CLIA 05D0687240: Kim Frederickson MD
Novato, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0687240 belongs to Kim Frederickson MD in Novato, CA.
Certificate of Compliance, effective March 22, 2025, expires March 21, 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 Compliance
- Certificate effective
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 1993
- Facility type
- Physician office
- 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
- 05D0687240
- Lab name
- Kim Frederickson MD
- Address
- 867 Diablo Ave, Novato, CA 94947
- Phone
- (415) 892-0754
- Fax
- (415) 897-3204
Annual test volume the lab reported
- Waived tests
- 13
- Provider-performed microscopy tests
- 330
- Other nonwaived tests
- 3,330
- Total
- 3,673
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Novato, CA
- Anchor Health LLCCertificate of Waiver, Hospice05D2226117
- Buck Institute for Research on Aging ClinicalCertificate of Waiver, Independent05D2319596
- David E Goodman, MD, Mse,Certificate of Waiver, Physician office05D2070588
- Direct Urgent Care, IncCertificate of Waiver, Physician office05D2220425
- Golden Gate Pharmacy ServicesCertificate of Waiver, Pharmacy05D2345353
- Golden Gate RecoveryCertificate of Waiver, Comprehensive outpatient rehab facility05D2287149
- Heart of Humanity Health Services, IncCertificate of Waiver, Home health agency05D2350508
- Heartwood House, LLCCertificate of Waiver, Other05D2279178
- Honeycomb Wellness Center LLCCertificate of Waiver, Comprehensive outpatient rehab facility05D2330596
- Kaiser San Rafael Home HealthCertificate of Waiver, Home health agency05D0972730
Related
Questions
What is the CLIA number for Kim Frederickson MD in Novato?
05D0687240, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kim Frederickson MD hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0687240 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.