05D0990465 CLIA NUMBER - SELF HELP FOR THE ELDERLY ADULT DAY SV

Laboratory Demographics

  • CLIA Code: 05D0990465
  • Facility Name: SELF HELP FOR THE ELDERLY ADULT DAY SV
  • Facility Address: 408 22ND AVENUE
    SAN FRANCISCO, CA
    ZIP 94121
  • Facility Phone: 415 666-1888
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LEE T. CHAN MD
  • NPI Number: 1225240344
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0990465
LAB Type Other
Facility Name SELF HELP FOR THE ELDERLY ADULT DAY SV
Street 408 22ND AVENUE
City SAN FRANCISCO
State CA
ZIP 94121
Phone 415 666-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Other
Lab Director LEE T. CHAN MD

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