05D0887060 CLIA NUMBER - MARIN OPHTHALMIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0887060
  • Facility Name: MARIN OPHTHALMIC SURGERY CENTER
  • Facility Address: 901 E STREET, STE 270
    SAN RAFAEL, CA
    ZIP 94901
  • Facility Phone: 415 454-2112
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN SHIN MD
  • NPI Number: 1225016769
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0887060
LAB Type Ambulatory Surgery Center
Facility Name MARIN OPHTHALMIC SURGERY CENTER
Street 901 E STREET, STE 270
City SAN RAFAEL
State CA
ZIP 94901
Phone 415 454-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN SHIN MD

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