05D0702604 CLIA NUMBER - MELISSA C WONG, MD, INC

Laboratory Demographics

  • CLIA Code: 05D0702604
  • Facility Name: MELISSA C WONG, MD, INC
  • Facility Address: 1044 TARAVA STREET
    SAN FRANCISCO, CA
    ZIP 94116
  • Facility Phone: 415 566-8799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA C. WONG, MD
  • NPI Number: 1578727756
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0702604
LAB Type Physician Office
Facility Name MELISSA C WONG, MD, INC
Street 1044 TARAVA STREET
City SAN FRANCISCO
State CA
ZIP 94116
Phone 415 566-8799
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 MELISSA C. WONG, MD

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