CLIA lab

CLIA 05D2324683: Muir Wood Adolescent and Family Services

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

CLIA number 05D2324683 belongs to Muir Wood Adolescent and Family Services in Petaluma, CA.

Certificate of Waiver, effective May 29, 2025, expires May 28, 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
May 29, 2025
Certificate expiration
May 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 29, 2025
Facility type
Ancillary test site
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
05D2324683
Lab name
Muir Wood Adolescent and Family Services
Address
900 Lohrman Ln, Petaluma, CA 94952
Phone
(415) 497-7722
Fax
(707) 981-5344

Annual test volume the lab reported

Waived tests
100

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 Muir Wood Adolescent and Family Services in Petaluma?

05D2324683, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Muir Wood Adolescent and Family Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2324683 expire?

The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.

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