05D0713207 CLIA NUMBER - SOUTH MARIN HEALTH & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D0713207
  • Facility Name: SOUTH MARIN HEALTH & WELLNESS CENTER
  • Facility Address: 1220 SOUTH ELISEO DR
    GREENBRAE, CA
    ZIP 94904
  • Facility Phone: 415 461-9700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN T. NGUYEN
  • NPI Number: 1235159039
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0713207
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH MARIN HEALTH & WELLNESS CENTER
Street 1220 SOUTH ELISEO DR
City GREENBRAE
State CA
ZIP 94904
Phone 415 461-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SUSAN T. NGUYEN

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