CLIA lab
CLIA 05D2220049: Heartwood House LLC
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2220049 belongs to Heartwood House LLC in San Rafael, CA.
Certificate of Waiver, effective April 8, 2025, expires April 7, 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
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 8, 2021
- 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
- 05D2220049
- Lab name
- Heartwood House LLC
- Address
- 8 Circle Road, San Rafael, CA 94903
- Phone
- (415) 419-8816
- Fax
- (415) 651-4459
Annual test volume the lab reported
- Waived tests
- 200
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 Heartwood House LLC in San Rafael?
05D2220049, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heartwood House LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2220049 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.