05D0687444 CLIA NUMBER - DEAN L RIDER MD

Laboratory Demographics

  • CLIA Code: 05D0687444
  • Facility Name: DEAN L RIDER MD
  • Facility Address: 350 PARNASSUS SUITE 900
    SAN FRANCISCO, CA
    ZIP 94117
  • Facility Phone: 415 566-5402
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEAN L. RIDER
  • NPI Number: 1487759296
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0687444
LAB Type Physician Office
Facility Name DEAN L RIDER MD
Street 350 PARNASSUS SUITE 900
City SAN FRANCISCO
State CA
ZIP 94117
Phone 415 566-5402
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 DEAN L. RIDER

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