CLIA lab
CLIA 05D1029377: J David Andrew MD
Greenbrae, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1029377 belongs to J David Andrew MD in Greenbrae, CA.
Certificate of Waiver, effective June 26, 2025, expires June 25, 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
- June 26, 2025
- Certificate expiration
- June 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 2004
- 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
- 05D1029377
- Lab name
- J David Andrew MD
- Address
- 599 Sir Frances Drake Blvd, Suite 208, Greenbrae, CA 94904
- Phone
- (415) 925-1523
- Fax
- (415) 925-1896
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.
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Related
Questions
What is the CLIA number for J David Andrew MD in Greenbrae?
05D1029377, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does J David Andrew MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1029377 expire?
The CMS file lists June 25, 2027 as the certificate expiration date; the certificate took effect June 26, 2025.