05D2026585 CLIA NUMBER - MARIN COMMUNITY CLINIC - SAN RAFAEL CAMPUS

Laboratory Demographics

  • CLIA Code: 05D2026585
  • Facility Name: MARIN COMMUNITY CLINIC - SAN RAFAEL CAMPUS
  • Facility Address: 3260 KERNER BLVD
    SAN RAFAEL, CA
    ZIP 94901
  • Facility Phone: 415 448-1500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MELANIE THOMPSON
  • NPI Number: 1922303437
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2026585
LAB Type Federally Qualified Health Center
Facility Name MARIN COMMUNITY CLINIC - SAN RAFAEL CAMPUS
Street 3260 KERNER BLVD
City SAN RAFAEL
State CA
ZIP 94901
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 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Federally Qualified Health Center
Lab Director MELANIE THOMPSON

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