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

Laboratory Demographics

  • CLIA Code: 05D2039448
  • Facility Name: WAI-LAM CHAN, MD, INC.
  • Facility Address: 1431 NORIEGA STREET
    SAN FRANCISCO, CA
    ZIP 94122
  • Facility Phone: 415 759-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN WAI-LAM CHAN
  • NPI Number: 1891791877
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director VIVIAN WAI-LAM CHAN

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