05D0960655 CLIA NUMBER - MY HEALTH MEDICAL GROUP DBA BT HEALTH WELLSPRING

Laboratory Demographics

  • CLIA Code: 05D0960655
  • Facility Name: MY HEALTH MEDICAL GROUP DBA BT HEALTH WELLSPRING
  • Facility Address: 45 CASTRO STREET SUITE 423
    SAN FRANCISCO, CA
    ZIP 94114
  • Facility Phone: 510 331-7271
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MAGDALENE LENARTOWICZ
  • NPI Number: 1598738395
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0960655
LAB Type Physician Office
Facility Name MY HEALTH MEDICAL GROUP DBA BT HEALTH WELLSPRING
Street 45 CASTRO STREET SUITE 423
City SAN FRANCISCO
State CA
ZIP 94114
Phone 510 331-7271
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 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director DR. MAGDALENE LENARTOWICZ

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