05D0943538 CLIA NUMBER - MARIN MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0943538
  • Facility Name: MARIN MEDICAL GROUP INC
  • Facility Address: 1341 S ELISEO DRIVE SUITE 200
    GREENBRAE, CA
    ZIP 94904
  • Facility Phone: 415 464-8169
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PAUL C. OGDEN
  • NPI Number: 1528042330
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0943538
LAB Type Other
Facility Name MARIN MEDICAL GROUP INC
Street 1341 S ELISEO DRIVE SUITE 200
City GREENBRAE
State CA
ZIP 94904
Phone 415 464-8169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Other
Lab Director PAUL C. OGDEN

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