CLIA lab
CLIA 05D2105304: One Medical - San Rafael
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2105304 belongs to One Medical - San Rafael in San Rafael, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 23, 2025, expires November 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 23, 2025
- Certificate expiration
- November 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2015
- 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
- 05D2105304
- Lab name
- One Medical - San Rafael
- Address
- 1004 Northgate Dr, San Rafael, CA 94903
- Phone
- (888) 663-6331
- Fax
- (415) 252-7176
Annual test volume the lab reported
- Waived tests
- 9,630
- Provider-performed microscopy tests
- 675
- Total
- 10,305
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brett V Curtis MDCertificate of Waiver, Physician office05D0872179
- Center Point IncCertificate for Provider-Performed Microscopy Procedures, Comprehensive outpatient rehab facility05D0886299
- Cortica Healthcare Inc MarinCertificate of Waiver, Physician office05D2274367
- David M Tully-Smith, MD, A Medical CorporationCertificate of Waiver, Physician office05D1097391
- Evia Diagnostics Marin LLCCertificate of Waiver, Other05D2273473
- Health Diagnostics of California LLCCertificate of Waiver, Other05D2094888
- Heartwood House LLCCertificate of Waiver, Other05D2220049
Related
Questions
What is the CLIA number for One Medical - San Rafael in San Rafael?
05D2105304, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does One Medical - San Rafael hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2105304 expire?
The CMS file lists November 22, 2027 as the certificate expiration date; the certificate took effect November 23, 2025.