05D0971730 CLIA NUMBER - LAWRENCE LOTUNG CHAO, MD

Laboratory Demographics

  • CLIA Code: 05D0971730
  • Facility Name: LAWRENCE LOTUNG CHAO, MD
  • Facility Address: 2645 OCEAN AVE STE 207
    SAN FRANCISCO, CA
    ZIP 94132
  • Facility Phone: 415 333-3302
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE L. CHAO, MD
  • NPI Number: 1700896370
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0971730
LAB Type Physician Office
Facility Name LAWRENCE LOTUNG CHAO, MD
Street 2645 OCEAN AVE STE 207
City SAN FRANCISCO
State CA
ZIP 94132
Phone 415 333-3302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director LAWRENCE L. CHAO, MD

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This page was last updated on: 3/20/2025