05D2119272 CLIA NUMBER - MARINA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2119272
  • Facility Name: MARINA DIALYSIS
  • Facility Address: 930 2ND AVE
    MARINA, CA
    ZIP 93933
  • Facility Phone: 831 384-7831
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BARBARA REVER MD
  • NPI Number: 1942654595
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2119272
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MARINA DIALYSIS
Street 930 2ND AVE
City MARINA
State CA
ZIP 93933
Phone 831 384-7831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BARBARA REVER MD

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