CLIA lab

CLIA 05D2221974: Third Rock MD

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

CLIA number 05D2221974 belongs to Third Rock MD in Menlo Park, CA.

Certificate of Waiver, effective April 26, 2025, expires April 25, 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 26, 2025
Certificate expiration
April 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 26, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2221974
Lab name
Third Rock MD
Address
3559 Haven Ave, Menlo Park, CA 94025
Phone
(505) 306-0732
Fax
(505) 485-0604

Annual test volume the lab reported

Waived tests
900

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Menlo Park, CA

Related

Questions

What is the CLIA number for Third Rock MD in Menlo Park?

05D2221974, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Third Rock MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2221974 expire?

The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.

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