05D2004367 CLIA NUMBER - MARIN FERTILITY CENTER

Laboratory Demographics

  • CLIA Code: 05D2004367
  • Facility Name: MARIN FERTILITY CENTER
  • Facility Address: 1100 S ELISEO DR STE 107
    GREENBRAE, CA
    ZIP 94904
  • Facility Phone: 415 925-9404
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PETER UZELAC
  • NPI Number: 1942685102
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2004367
LAB Type Physician Office
Facility Name MARIN FERTILITY CENTER
Street 1100 S ELISEO DR STE 107
City GREENBRAE
State CA
ZIP 94904
Phone 415 925-9404
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DR. PETER UZELAC

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