05D1002008 CLIA NUMBER - MARIN COMMUNITY CLINIC - NOVATO

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Laboratory Demographics

CLIA Number: 05D1002008

Facility Name: MARIN COMMUNITY CLINIC - NOVATO

Facility Address:
6100 REDWOOD BLVD
NOVATO, CA
ZIP 94945
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Facility Phone Number: 415 448-1500

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1932327343

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1002008
LAB Type	Federally Qualified Health Center
Facility Name	MARIN COMMUNITY CLINIC - NOVATO
Street	6100 REDWOOD BLVD
City	NOVATO
State	CA
ZIP	94945
Phone	415 448-1500
CertificateType	3
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024