05D0918847 CLIA NUMBER - INSTITUTE ON AGING

Laboratory Demographics

  • CLIA Code: 05D0918847
  • Facility Name: INSTITUTE ON AGING
  • Facility Address: 3575 GEARY BLVD
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 447-1000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SUNNY K. PAK
  • NPI Number: 1497860068
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 05D0918847
LAB Type Community Clinic
Facility Name INSTITUTE ON AGING
Street 3575 GEARY BLVD
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 447-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Community Clinic
Lab Director SUNNY K. PAK

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