05D0595181 CLIA NUMBER - WINCHELL W QUOCK MD

Laboratory Demographics

  • CLIA Code: 05D0595181
  • Facility Name: WINCHELL W QUOCK MD
  • Facility Address: 402 8TH AVE UNIT 202
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 751-1411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WINCHELL W. QUOCK
  • NPI Number: 1255360780
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0595181
LAB Type Physician Office
Facility Name WINCHELL W QUOCK MD
Street 402 8TH AVE UNIT 202
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 751-1411
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 WINCHELL W. QUOCK

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