05D2172939 CLIA NUMBER - MARIN SENIOR CARE DBA MARIN HOME CARE

Laboratory Demographics

  • CLIA Code: 05D2172939
  • Facility Name: MARIN SENIOR CARE DBA MARIN HOME CARE
  • Facility Address: 1640 TIBURON BLVD SUITE 17
    TIBURON, CA
    ZIP 94920
  • Facility Phone: 415 712-1917
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOSE E. COBAR
  • NPI Number: 1235784026
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2172939
LAB Type Home Health Agency
Facility Name MARIN SENIOR CARE DBA MARIN HOME CARE
Street 1640 TIBURON BLVD SUITE 17
City TIBURON
State CA
ZIP 94920
Phone 415 712-1917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Home Health Agency
Lab Director JOSE E. COBAR

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