05D2039448 CLIA NUMBER - WAI-LAM CHAN, MD, INC.

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Laboratory Demographics

CLIA Number: 05D2039448

Facility Name: WAI-LAM CHAN, MD, INC.

Facility Address:
1431 NORIEGA STREET
SAN FRANCISCO, CA
ZIP 94122
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Facility Phone Number: 415 759-3777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891791877

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2039448
LAB Type	Physician Office
Facility Name	WAI-LAM CHAN, MD, INC.
Street	1431 NORIEGA STREET
City	SAN FRANCISCO
State	CA
ZIP	94122
Phone	415 759-3777
CertificateType	4
CertificateEffectiveDate	4/10/2024
CertificateExpirationDate	4/9/2026
FacilityType	Waiver

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