CLIA lab
CLIA 05D0858103: San Quentin Rehabilitation Center
San Quentin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0858103 belongs to San Quentin Rehabilitation Center in San Quentin, CA.
Certificate of Waiver, effective July 16, 2026, expires July 15, 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
- July 16, 2026
- Certificate expiration
- July 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 05D0858103
- Lab name
- San Quentin Rehabilitation Center
- Address
- 1 Main St, San Quentin, CA 94964
- Phone
- (415) 454-1460
Annual test volume the lab reported
- Waived tests
- 95,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for San Quentin Rehabilitation Center in San Quentin?
05D0858103, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Quentin Rehabilitation Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0858103 expire?
The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.