32D2265207 CLIA NUMBER - MARIN TELEHEALTH INC

Laboratory Demographics

  • CLIA Code: 32D2265207
  • Facility Name: MARIN TELEHEALTH INC
  • Facility Address: 1245 COUNTRY CLUB RD STE 200
    SANTA TERESA, NM
    ZIP 88008
  • Facility Phone: 575 332-4633
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TANYA V. MARIN
  • NPI Number: 1023741188
  • Taxonomy: 363LP2300X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 32D2265207
LAB Type Rural Health Clinic
Facility Name MARIN TELEHEALTH INC
Street 1245 COUNTRY CLUB RD STE 200
City SANTA TERESA
State NM
ZIP 88008
Phone 575 332-4633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Rural Health Clinic
Lab Director TANYA V. MARIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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