05D0691169 CLIA NUMBER - SF BAY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0691169
  • Facility Name: SF BAY PEDIATRICS
  • Facility Address: 525 SPRUCE STREET SUITE 3
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 668-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN C. JOHNSON MD
  • NPI Number: 1588878144
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0691169
LAB Type Physician Office
Facility Name SF BAY PEDIATRICS
Street 525 SPRUCE STREET SUITE 3
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 668-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director ALAN C. JOHNSON MD

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