05D2313215 CLIA NUMBER - DOUGLAS E COHEN MD, INC

Laboratory Demographics

  • CLIA Code: 05D2313215
  • Facility Name: DOUGLAS E COHEN MD, INC
  • Facility Address: 655 REDWOOD HWY FRONTAGE RD STE 275
    MILL VALLEY, CA
    ZIP 94941
  • Facility Phone: 415 518-8115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS E. COHEN
  • NPI Number: 1174340475
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2313215
LAB Type Physician Office
Facility Name DOUGLAS E COHEN MD, INC
Street 655 REDWOOD HWY FRONTAGE RD STE 275
City MILL VALLEY
State CA
ZIP 94941
Phone 415 518-8115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director DOUGLAS E. COHEN

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