05D0864101 CLIA NUMBER - GOLDEN GATE OBSTETRICS & GYNECOLOGY, INC

Laboratory Demographics

  • CLIA Code: 05D0864101
  • Facility Name: GOLDEN GATE OBSTETRICS & GYNECOLOGY, INC
  • Facility Address: 1725 MONTGOMERY ST STE 200
    SAN FRANCISCO, CA
    ZIP 94111
  • Facility Phone: 415 831-2163
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN R. CALLEN
  • NPI Number: 1821058389
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D0864101
LAB Type Physician Office
Facility Name GOLDEN GATE OBSTETRICS & GYNECOLOGY, INC
Street 1725 MONTGOMERY ST STE 200
City SAN FRANCISCO
State CA
ZIP 94111
Phone 415 831-2163
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 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director KAREN R. CALLEN

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