05D0899969 CLIA NUMBER - UCSF BENIOFF CHILDREN'S PHYSICIANS

Laboratory Demographics

CLIA Number: 05D0899969

Facility Name: UCSF BENIOFF CHILDREN'S PHYSICIANS

Facility Address:
3490 CALIFORNIA ST STE 200
SAN FRANCISCO, CA
ZIP 94118
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Facility Phone Number: 415 282-3610

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992054340

Taxonomy: 282NC2000X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	05D0899969
LAB Type	Physician Office
Facility Name	UCSF BENIOFF CHILDREN'S PHYSICIANS
Street	3490 CALIFORNIA ST STE 200
City	SAN FRANCISCO
State	CA
ZIP	94118
Phone	415 282-3610
CertificateType	4
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	Waiver

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