05D2033208 CLIA NUMBER - UCSF PHYSICIAN GROUP DBA MARIN HEALTH INTERNAL MEDICINE NOVATO

Laboratory Demographics

  • CLIA Code: 05D2033208
  • Facility Name: UCSF PHYSICIAN GROUP DBA MARIN HEALTH INTERNAL MEDICINE NOVATO
  • Facility Address: 75 ROWLAND WAY SUITE 200
    NOVATO, CA
    ZIP 94945
  • Facility Phone: 415 897-3174
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GURKAMAL HANS
  • NPI Number: 1699223628
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2033208
LAB Type Physician Office
Facility Name UCSF PHYSICIAN GROUP DBA MARIN HEALTH INTERNAL MEDICINE NOVATO
Street 75 ROWLAND WAY SUITE 200
City NOVATO
State CA
ZIP 94945
Phone 415 897-3174
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 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director GURKAMAL HANS

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