05D0594442 CLIA NUMBER - GOLDEN GATE UROLOGY, INC

Laboratory Demographics

  • CLIA Code: 05D0594442
  • Facility Name: GOLDEN GATE UROLOGY, INC
  • Facility Address: 2186 GEARY BLVD, STE 214
    SAN FRANCISCO, CA
    ZIP 94115
  • Facility Phone: 415 922-3255
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RODMAN ROGERS
  • NPI Number: 1073154654
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D0594442
LAB Type Physician Office
Facility Name GOLDEN GATE UROLOGY, INC
Street 2186 GEARY BLVD, STE 214
City SAN FRANCISCO
State CA
ZIP 94115
Phone 415 922-3255
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RODMAN ROGERS

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