05D2159725 CLIA NUMBER - MARSHALL CARES

Laboratory Demographics

  • CLIA Code: 05D2159725
  • Facility Name: MARSHALL CARES
  • Facility Address: 1045 MARSHALL WAY
    PLACERVILLE, CA
    ZIP 95667
  • Facility Phone: 530 621-7965
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JAY LONI
  • NPI Number: 1447912191
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2159725
LAB Type Hospital
Facility Name MARSHALL CARES
Street 1045 MARSHALL WAY
City PLACERVILLE
State CA
ZIP 95667
Phone 530 621-7965
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Hospital
Lab Director JAY LONI

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