05D2037353 CLIA NUMBER - NORTH EAST MEDICAL SERVICES - NORIEGA CLINIC LAB

Home > CLIA Lookup > 05D2037353

Laboratory Demographics

CLIA Number: 05D2037353

Facility Name: NORTH EAST MEDICAL SERVICES - NORIEGA CLINIC LAB

Facility Address:
1450 NORIEGA STREET
SAN FRANCISCO, CA
ZIP 94134
Get Directions

Facility Phone Number: 415 391-9686

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1275017691

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2037353
LAB Type	Federally Qualified Health Center
Facility Name	NORTH EAST MEDICAL SERVICES - NORIEGA CLINIC LAB
Street	1450 NORIEGA STREET
City	SAN FRANCISCO
State	CA
ZIP	94134
Phone	415 391-9686
CertificateType	4
CertificateEffectiveDate	2/24/2024
CertificateExpirationDate	2/23/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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