05D0951702 CLIA NUMBER - JAMES P HANSEN MD

Laboratory Demographics

  • CLIA Code: 05D0951702
  • Facility Name: JAMES P HANSEN MD
  • Facility Address: 1 SHRADER ST #550
    SAN FRANCISCO, CA
    ZIP 94117
  • Facility Phone: 415 563-2030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES P. HANSEN MD
  • NPI Number: 1720198203
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0951702
LAB Type Physician Office
Facility Name JAMES P HANSEN MD
Street 1 SHRADER ST #550
City SAN FRANCISCO
State CA
ZIP 94117
Phone 415 563-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director JAMES P. HANSEN MD

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