05D0595149 CLIA NUMBER - RANDOLPH H CHASE MD

Laboratory Demographics

  • CLIA Code: 05D0595149
  • Facility Name: RANDOLPH H CHASE MD
  • Facility Address: 3838 CALIFORNIA
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 668-2851
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDOLPH H. CHASE
  • NPI Number: 1063428225
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0595149
LAB Type Physician Office
Facility Name RANDOLPH H CHASE MD
Street 3838 CALIFORNIA
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 668-2851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RANDOLPH H. CHASE

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