CLIA lab
CLIA 05D2105807: San Rafael Dialysis
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2105807 belongs to San Rafael Dialysis in San Rafael, CA.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2015
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2105807
- Lab name
- San Rafael Dialysis
- Address
- 1415 3rd St, San Rafael, CA 94901
- Phone
- (415) 453-4437
- Fax
- (415) 453-4616
Annual test volume the lab reported
- Waived tests
- 29,016
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita San Rafael DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in San Rafael, CA
- Aegis Living San RafaelCertificate of Waiver, Assisted living facility05D2332583
- Bayside MarinCertificate of Waiver, Other05D2076223
- Bayside MarinCertificate of Waiver, Comprehensive outpatient rehab facility05D2091514
- 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 San Rafael Dialysis in San Rafael?
05D2105807, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Rafael Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2105807 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.