CLIA lab

CLIA 05D2089303: Muir Wood Adolescent and Family Services

Petaluma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2089303 belongs to Muir Wood Adolescent and Family Services in Petaluma, CA.

Certificate of Waiver, effective December 24, 2024, expires December 23, 2026.

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
December 24, 2024
Certificate expiration
December 23, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 24, 2014
Facility type
Other
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
05D2089303
Lab name
Muir Wood Adolescent and Family Services
Address
1733 Skillman Ln, Petaluma, CA 94952
Phone
(310) 903-1155
Fax
(707) 559-5401

Annual test volume the lab reported

Waived tests
600

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 Muir Wood Adolescent and Family Services in Petaluma?

05D2089303, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Muir Wood Adolescent and Family Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2089303 expire?

The CMS file lists December 23, 2026 as the certificate expiration date; the certificate took effect December 24, 2024.

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