Blue Water Life Science Advisors, LP
In its 13F for Q4 2025 (holdings as of December 31, 2025, filed February 17, 2026), Blue Water Life Science Advisors, LP reported 9 stock positions worth $159.3 million. Its top holding was Guardant Health (GH) at 22.8% of the portfolio, followed by Natera (NTRA, 20.3%) and Adaptive Biotechnologies (ADPT, 18.0%). Compared with Q3 2025, it opened 2 new positions, added to 2 and reduced 2. The biggest buy was a new position in Twist Bioscience (TWST) and the biggest sale Adaptive Biotechnologies (ADPT, shares −18%).
- Most Recent 13F
- Q2 2026
- Location
- LARKSPUR, CA
- CIK
- 0001789778
- Portfolio Value
- $159.3M (Q4 2025)
- SEC Filing
- 0001420506-26-000497 ↗ filed Feb 17, 2026
Holdings Value
Holdings 9 stocks · $159.3M
| GH Guardant Health Inc. | 22.76% | 355,047 | $36.3M | Reduce -12.5% |
| NTRA Natera Inc. | 20.34% | 141,494 | $32.4M | No change |
| ADPT Adaptive Biotechnologies | 17.99% | 1,765,145 | $28.7M | Reduce -17.7% |
| PSNL Personalis Inc. | 8.37% | 1,676,300 | $13.3M | No change |
| QTRX Quanterix Corp. | 8.35% | 2,092,147 | $13.3M | Add +118.4% |
| TWST Twist Bioscience Corp. | 7.63% | 383,000 | $12.1M | New |
| CDNA Caredx Inc. | 6.03% | 510,000 | $9.6M | No change |
| GRAL Grail Inc. | 5.32% | 99,000 | $8.5M | New |
| TEM Tempus AI Inc. Class A | 3.20% | 86,412 | $5.1M | Add +19.3% |
Portfolio Sells Q3 2025 → Q4 2025
Portfolio Buys Q3 2025 → Q4 2025
All Filings
| Quarter | Positions | 13F Reported Value | Top Holdings |
|---|---|---|---|
| Q2 2026 | 9 | $158.8M | CDNA, TXG, PSNL, ADPT, GH |
| Q1 2026 | 10 | $124.7M | TXG, GH, CDNA, ADPT, TWST |
| Q4 2025 | 9 | $159.3M | GH, NTRA, ADPT, PSNL, QTRX |
| Q3 2025 | 7 | $109.6M | ADPT, GH, NTRA, PSNL, CDNA |
| Q2 2025 | 8 | $126.3M | NTRA, ADPT, GH, CDNA, TXG |
| Q1 2025 | 7 | $100.9M | GH, NTRA, ADPT, CDNA, AKYA |
| Q4 2024 | 9 | $112.9M | NTRA, GH, CDNA, ADPT, AKYA |
| Q3 2024 | 8 | $113.7M | NTRA, CDNA, EXAS, AKYA, ADPT |
| Q2 2024 | 8 | $102.8M | NTRA, GH, AKYA, CDNA, TXG |
| Q1 2024 | 8 | $106.3M | NTRA, AKYA, GH, TXG, QTRX |