CLIA lab
CLIA 05D1075837: Magnolia Pediatrics of Marin
Mill Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1075837 belongs to Magnolia Pediatrics of Marin in Mill Valley, CA.
Certificate of Waiver, effective October 30, 2025, expires October 29, 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
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2007
- Facility type
- Physician office
- Ownership (control type)
- 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
- 05D1075837
- Lab name
- Magnolia Pediatrics of Marin
- Address
- 655 Redwood Highway, Ste 216, Mill Valley, CA 94941
- Phone
- (415) 380-8700
- Fax
- (415) 380-8701
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mill Valley, CA
- Aesthetic DermatologyCertificate of Compliance, Physician office05D0594082
- Brightstar HealthcareCertificate of Waiver, Home health agency05D2006388
- Curtis F Robinson MD IncCertificate of Waiver, Physician office05D1036905
- DRS Leonards Johnson Crosby Dab GinCertificate of Waiver, Physician office05D0674887
- David A Laub MDCertificate of Compliance, Physician office05D0937820
- Douglas E Cohen MD, IncCertificate of Waiver, Physician office05D2313215
- Energize Health and Hormones IncCertificate of Waiver, Physician office05D2337333
- Golden Gate Pediatrics, A Medical CorporationCertificate of Waiver, Physician office05D0715276
- Infusion Express of California, IncCertificate of Waiver, Other05D2309437
- Infusion for Health Mill ValleyCertificate of Waiver, Other05D2349870
Related
Questions
What is the CLIA number for Magnolia Pediatrics of Marin in Mill Valley?
05D1075837, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Pediatrics of Marin hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1075837 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.