05D0994161 CLIA NUMBER - GOLDEN GATE UROLOGY, INC

Laboratory Demographics

  • CLIA Code: 05D0994161
  • Facility Name: GOLDEN GATE UROLOGY, INC
  • Facility Address: 3100 TELEGRAPH AVENUE,SUITE 3000
    OAKLAND, CA
    ZIP 94609
  • Facility Phone: 510 238-1238
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT Q. YAN MD
  • NPI Number: 1063640738
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D0994161
LAB Type Physician Office
Facility Name GOLDEN GATE UROLOGY, INC
Street 3100 TELEGRAPH AVENUE,SUITE 3000
City OAKLAND
State CA
ZIP 94609
Phone 510 238-1238
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 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director ROBERT Q. YAN MD

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