CLIA lab
CLIA 05D2243479: Tpmg San Rafael Mohs Laboratory
San Rafael, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2243479 belongs to Tpmg San Rafael Mohs Laboratory in San Rafael, CA.
Certificate of Compliance, effective September 12, 2024, expires October 31, 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 Compliance
- Certificate effective
- September 12, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 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
- 05D2243479
- Lab name
- Tpmg San Rafael Mohs Laboratory
- Address
- 99 Montecillo Rd, 4th Fl, San Rafael, CA 94903
- Phone
- (510) 672-1357
Annual test volume the lab reported
- Other nonwaived tests
- 2,513
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 Tpmg San Rafael Mohs Laboratory in San Rafael?
05D2243479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tpmg San Rafael Mohs Laboratory hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2243479 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 12, 2024.