05D1029487 CLIA NUMBER - PENINSULA PATHOLOGISTS MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D1029487
  • Facility Name: PENINSULA PATHOLOGISTS MEDICAL GROUP INC
  • Facility Address: 383 E GRAND AVE STE A
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Facility Phone: 650 616-2951
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JUSTIN CUFF
  • NPI Number: 1285699793
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D1029487
LAB Type Independent
Facility Name PENINSULA PATHOLOGISTS MEDICAL GROUP INC
Street 383 E GRAND AVE STE A
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Phone 650 616-2951
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Independent
Lab Director JUSTIN CUFF

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