05D0700265 CLIA NUMBER - SUE K ARAKAKI MD

Laboratory Demographics

  • CLIA Code: 05D0700265
  • Facility Name: SUE K ARAKAKI MD
  • Facility Address: 1 BAYWOOD AVE #2
    SAN MATEO, CA
    ZIP 94402
  • Facility Phone: 415 348-2111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BETTY L. COSGROVE
  • NPI Number: 1639187545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0700265
LAB Type Physician Office
Facility Name SUE K ARAKAKI MD
Street 1 BAYWOOD AVE #2
City SAN MATEO
State CA
ZIP 94402
Phone 415 348-2111
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 BETTY L. COSGROVE

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