05D1067971 CLIA NUMBER - SAN FRANCISCO GYNECOLOGY INC

Laboratory Demographics

CLIA Number: 05D1067971

Facility Name: SAN FRANCISCO GYNECOLOGY INC

Facility Address:
490 POST STREET, SUITE 530
SAN FRANCISCO, CA
ZIP 94102
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Facility Phone Number: 415 955-8550

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225177397

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	05D1067971
LAB Type	Physician Office
Facility Name	SAN FRANCISCO GYNECOLOGY INC
Street	490 POST STREET, SUITE 530
City	SAN FRANCISCO
State	CA
ZIP	94102
Phone	415 955-8550
CertificateType	3
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024