05D2280461 CLIA NUMBER - MARSHALL CARDIAC REHABILITATION

Laboratory Demographics

  • CLIA Code: 05D2280461
  • Facility Name: MARSHALL CARDIAC REHABILITATION
  • Facility Address: 1000 FOWLER WAY SUITE 2
    PLACERVILLE, CA
    ZIP 95667
  • Facility Phone: 530 672-7041
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: NACATI U. TEKIN
  • NPI Number: 1992705040
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2280461
LAB Type Hospital
Facility Name MARSHALL CARDIAC REHABILITATION
Street 1000 FOWLER WAY SUITE 2
City PLACERVILLE
State CA
ZIP 95667
Phone 530 672-7041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Hospital
Lab Director NACATI U. TEKIN

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