05D0689064 CLIA NUMBER - CAROL K LEE MD

Laboratory Demographics

  • CLIA Code: 05D0689064
  • Facility Name: CAROL K LEE MD
  • Facility Address: 1518 NORIEGA ST 200
    SAN FRANCISCO, CA
    ZIP 94122
  • Facility Phone: 415 566-7556
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL K. LEE
  • NPI Number: 1063504298
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0689064
LAB Type Physician Office
Facility Name CAROL K LEE MD
Street 1518 NORIEGA ST 200
City SAN FRANCISCO
State CA
ZIP 94122
Phone 415 566-7556
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 CAROL K. LEE

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