05D0674477 CLIA NUMBER - YUAN DA FAN MD

Laboratory Demographics

  • CLIA Code: 05D0674477
  • Facility Name: YUAN DA FAN MD
  • Facility Address: 490 POST STREET #1112
    SAN FRANCISCO, CA
    ZIP 94102
  • Facility Phone: 415 781-5300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: YUAN DA FAN MD
  • NPI Number: 1609941798
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0674477
LAB Type Physician Office
Facility Name YUAN DA FAN MD
Street 490 POST STREET #1112
City SAN FRANCISCO
State CA
ZIP 94102
Phone 415 781-5300
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 YUAN DA FAN MD

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