05D2273473 CLIA NUMBER - EVIA DIAGNOSTICS MARIN LLC

Laboratory Demographics

  • CLIA Code: 05D2273473
  • Facility Name: EVIA DIAGNOSTICS MARIN LLC
  • Facility Address: 4340 REDWOOD HWY SUITE A-33
    SAN RAFAEL, CA
    ZIP 94903
  • Facility Phone: 415 971-9033
  • Facility Type: Other - SAMPLE COLLECTION SITE
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE STANDEFER
  • NPI Number: 1821824442
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2273473
LAB Type Other - SAMPLE COLLECTION SITE
Facility Name EVIA DIAGNOSTICS MARIN LLC
Street 4340 REDWOOD HWY SUITE A-33
City SAN RAFAEL
State CA
ZIP 94903
Phone 415 971-9033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - SAMPLE COLLECTION SITE
Lab Director CHARLOTTE STANDEFER

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