05D0062669 CLIA NUMBER - CHINESE HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 05D0062669

Facility Name: CHINESE HOSPITAL LABORATORY

Facility Address:
845 JACKSON ST
SAN FRANCISCO, CA
ZIP 94133
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Facility Phone Number: 415 982-2420

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1528311537

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0062669
LAB Type	Hospital
Facility Name	CHINESE HOSPITAL LABORATORY
Street	845 JACKSON ST
City	SAN FRANCISCO
State	CA
ZIP	94133
Phone	415 982-2420
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024