05D1063187 CLIA NUMBER - GOLDEN GATE ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D1063187
  • Facility Name: GOLDEN GATE ENDOSCOPY CENTER, LLC
  • Facility Address: 3370 GEARY BLVD
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 379-7500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FRANK J. FARRELL, MD
  • NPI Number: 1538240866
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1063187
LAB Type Ambulatory Surgery Center
Facility Name GOLDEN GATE ENDOSCOPY CENTER, LLC
Street 3370 GEARY BLVD
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 379-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Ambulatory Surgery Center
Lab Director FRANK J. FARRELL, MD

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