CLIA lab
CLIA 05D2159459: Newport Academy Maoli
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2159459 belongs to Newport Academy Maoli in San Rafael, CA.
Certificate of Waiver, effective December 19, 2024, expires December 18, 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 19, 2024
- Certificate expiration
- December 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 2018
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2159459
- Lab name
- Newport Academy Maoli
- Address
- 1605 Lucas Valley Rd, San Rafael, CA 94903
- Phone
- (714) 393-3523
- Fax
- (866) 273-8095
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 Newport Academy Maoli in San Rafael?
05D2159459, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Newport Academy Maoli hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2159459 expire?
The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.