Techniques for synthesizing a signal having a desired frequency from an oscillation signal. In an aspect, a reference signal having a known frequency may be periodically used to determine a ratio between the desired frequency and the frequency of the oscillation signal. The oscillation signal may be decimated by the ratio to generate a synthesized signal having approximately the desired frequency. In an aspect, the decimation may be performed by generating a pulse in response to the output of an accumulator that accumulates in steps of the ratio. To save power, the oscillation signal may be derived from a low-power oscillator, while the reference signal may be turned on only during periodic calibration. Further aspects for improving the frequency accuracy of the synthesized signal are disclosed.