CLIA lab
CLIA 05D0896255: Pine Ridge Care Center
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0896255 belongs to Pine Ridge Care Center in San Rafael, CA.
Certificate of Waiver, effective January 4, 2025, expires January 3, 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
- January 4, 2025
- Certificate expiration
- January 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 1995
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0896255
- Lab name
- Pine Ridge Care Center
- Address
- 45 Professional Center Parkway, San Rafael, CA 94903
- Phone
- (415) 479-3610
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pine Ridge Care CenterCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pine Ridge Care Center in San Rafael?
05D0896255, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Ridge Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0896255 expire?
The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.