05D0926513 CLIA NUMBER - MARIN COMMUNITY CLINIC - LARKSPUR

Laboratory Demographics

  • CLIA Code: 05D0926513
  • Facility Name: MARIN COMMUNITY CLINIC - LARKSPUR
  • Facility Address: 5 BON AIR RD STE 117
    LARKSPUR, CA
    ZIP 94939
  • Facility Phone: 415 448-1500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: XAVIER PEREZ
  • NPI Number: 1780292912
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0926513
LAB Type Federally Qualified Health Center
Facility Name MARIN COMMUNITY CLINIC - LARKSPUR
Street 5 BON AIR RD STE 117
City LARKSPUR
State CA
ZIP 94939
Phone 415 448-1500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Federally Qualified Health Center
Lab Director XAVIER PEREZ

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