Physician-led plasma exchange at our Mill Valley clinic — about 15 minutes from San Rafael without traffic.
655 Redwood Highway, Suite 370, Mill Valley, CA 94941
If you live in Marin, therapeutic plasma exchange is close to home. Our clinic sits in Mill Valley in southern Marin, a short drive down US-101 from San Rafael and Novato and only minutes from Larkspur, Corte Madera, Sausalito and the Ross Valley.
Being local changes how a treatment series fits into your week. With a short drive on each end, a session that takes about three hours at the clinic can sit in a morning or early afternoon, leaving the rest of the day as normal.
Communities we see patients from
San Rafael · Novato · Larkspur · Corte Madera · San Anselmo · Fairfax · Sausalito · Tiburon · Mill Valley
Typical times without traffic. Check live conditions before you leave.
We are open Monday through Friday, 9am to 5pm. From most of Marin, a morning session leaves you home by early afternoon, and there are no restrictions on driving or returning to normal activities afterward.
Golden Gate Transit buses run along the US-101 corridor through Marin, and SMART trains stop in Novato, San Rafael and Larkspur. Check current schedules against your appointment time.
A companion is not required, but someone close to you is welcome to sit with you during treatment — especially for a first visit.
The procedure itself takes about two hours. Plan for about three hours at the clinic to allow for setup and wrap-up — plus your drive, about 15 minutes each way from San Rafael without traffic.
Hydrate well — about three liters of water a day for several days beforehand. Rest the night before, avoid alcohol that evening, and skip strenuous exercise or sauna. Eat a full meal before your session; this is not a fasting procedure.
Wear something with loose or short sleeves so the veins at your inner elbows are easy to reach. One arm is typically free during treatment, so bring something to read, a laptop or your phone. Your physician will review your full medication list with you before your first session.
If you take blood pressure medication in the morning, it is often recommended to hold it until after the procedure. Most other medications can be taken as normal — your physician will advise you specifically.
Leave the bandages on your arms for several hours. Beyond that there are no restrictions: you can drive, travel, eat and go about your day. Most patients feel the same as when they arrived; a small percentage feel a little tired.
Most patients come alone and drive themselves home. A companion is not required, but someone close to you is welcome to sit with you — and if you would rather not make the return trip alone, bringing a driver is entirely reasonable.
We are open Monday–Friday, 9am–5pm. A typical protocol involves four to six sessions, and your physician will design a plan specific to you. For a fuller walk-through, read What to Expect During Your First TPE Session.
Global Apheresis is led by Dr. Dobri Kiprov and Dr. Allen Green. Read more about our physicians and our published research.
Dr. Kiprov has practiced therapeutic apheresis in the Bay Area since the 1980s.
Every session at Global Apheresis is physician-led, with a nurse at your side throughout.
Our physicians publish and present research on plasma exchange, including a 2026 journal theme issue.
Plasma exchange protocols informed by the AMBAR trial for mild-to-moderate Alzheimer’s disease.
Learn More →Plasma exchange as part of a healthspan program, with biological age testing to follow markers over time.
Learn More →Removing circulating antibodies and inflammatory mediators in conditions such as myasthenia gravis.
Learn More →Plasma exchange to lower circulating environmental toxins, including PFAS “forever chemicals.”
Learn More →Long COVID, PANS/PANDAS and other persistent post-infectious conditions.
Learn More →Our clinic at 655 Redwood Highway in Mill Valley is about 15 minutes from San Rafael and about 25 minutes from Novato via US-101 South, without traffic.
Yes. Our only clinic is at 655 Redwood Highway, Suite 370, in Mill Valley, in southern Marin County. All treatment takes place there.
There are no restrictions after the procedure — you can drive, travel, eat and go about your day as normal. Most patients feel the same as when they arrived. Leave the bandages on your arms for several hours.
The procedure itself takes about two hours. Plan for about three hours at the clinic in total to allow for setup and wrap-up, plus your drive time.
Book a free discovery call with our physicians. They will talk through your history and goals and, if therapeutic plasma exchange is appropriate, design a plan specific to your situation.
Global Apheresis
655 Redwood Highway, Suite 370
Mill Valley, CA 94941
Monday–Friday, 9am–5pm
Schedule a free discovery call with our physicians before you plan a trip. We will talk through your history and goals, and whether plasma exchange is appropriate for you.
Book a Free Discovery Call