CLIA lab

CLIA 05D2196302: KRC San Rafael, LP DBA Drake Terrace

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

CLIA number 05D2196302 belongs to KRC San Rafael, LP DBA Drake Terrace in San Rafael, CA.

Certificate of Waiver, effective October 15, 2024, expiration date October 14, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 15, 2024
Certificate expiration
October 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 15, 2020
Facility type
Assisted living 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
05D2196302
Lab name
KRC San Rafael, LP DBA Drake Terrace
Address
275 Los Ranchitos Road, San Rafael, CA 94903
Phone
(760) 804-5900

Annual test volume the lab reported

Waived tests
1,500

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 KRC San Rafael, LP DBA Drake Terrace in San Rafael?

05D2196302, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does KRC San Rafael, LP DBA Drake Terrace hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2196302 expire?

The CMS file lists October 14, 2026 as the certificate expiration date; the certificate took effect October 15, 2024.

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