05D0604317 CLIA NUMBER - MARIN GENERAL HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0604317
  • Facility Name: MARIN GENERAL HOSPITAL LABORATORY
  • Facility Address: 250 BON AIR RD 2ND FL
    GREENBRAE, CA
    ZIP 94904
  • Facility Phone: 415 925-7186
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. KEDAR C. PRASAD
  • NPI Number: 1851934020
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0604317
LAB Type Hospital
Facility Name MARIN GENERAL HOSPITAL LABORATORY
Street 250 BON AIR RD 2ND FL
City GREENBRAE
State CA
ZIP 94904
Phone 415 925-7186
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. KEDAR C. PRASAD

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This page was last updated on: 9/29/2025