05D0596167 CLIA NUMBER - UCSF POINT OF CARE TESTING LABORATORY-OUT PATIENT

Laboratory Demographics

CLIA Code: 05D0596167
Facility Name: UCSF POINT OF CARE TESTING LABORATORY-OUT PATIENT
Facility Address: 400 PARNASSUS AVE, BOX 0310
SAN FRANCISCO, CA
ZIP 94143
Facility Phone: 415 353-8628
Facility Type: Ancillary Testing Site in Health Care Center
Facility Type: Microscopy
Lab Director: ANNE DEUCHER
NPI Number: 1124404710
Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name	Field Value
CLIA Number	05D0596167
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	UCSF POINT OF CARE TESTING LABORATORY-OUT PATIENT
Street	400 PARNASSUS AVE, BOX 0310
City	SAN FRANCISCO
State	CA
ZIP	94143
Phone	415 353-8628
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	11/6/2023
Certificate Expiration Date	11/5/2025
Facility Type	Ancillary Testing Site in Health Care Center
Lab Director	ANNE DEUCHER

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