05D0696117 CLIA NUMBER - DAVID KAWANO MD

Laboratory Demographics

CLIA Number: 05D0696117

Facility Name: DAVID KAWANO MD

Facility Address:
1 BAYWOOD AVE 6
SAN MATEO, CA
ZIP 94402
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Facility Phone Number: 650 348-8676

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245348994

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0696117
LAB Type	Physician Office
Facility Name	DAVID KAWANO MD
Street	1 BAYWOOD AVE 6
City	SAN MATEO
State	CA
ZIP	94402
Phone	650 348-8676
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024