CLIA lab
CLIA 05D1064758: UCSF Physician Group
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1064758 belongs to UCSF Physician Group in San Rafael, CA.
Certificate of Waiver, effective February 13, 2025, expires February 12, 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
- February 13, 2025
- Certificate expiration
- February 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2007
- Facility type
- Physician office
- Ownership (control type)
- Government, other
- 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
- 05D1064758
- Lab name
- UCSF Physician Group
- Additional name
- DBA Marinhealth Primary Care San Rafael
- Address
- 4000 Civic Center Dr Ste 200B, San Rafael, CA 94903
- Phone
- (415) 492-3333
- Fax
- (415) 492-3425
Annual test volume the lab reported
- Waived tests
- 300
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 UCSF Physician Group in San Rafael?
05D1064758, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does UCSF Physician Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1064758 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.