05D2045185 CLIA NUMBER - SOUTH SAN FRANCISCO AT HOME

Laboratory Demographics

  • CLIA Code: 05D2045185
  • Facility Name: SOUTH SAN FRANCISCO AT HOME
  • Facility Address: 74 CAMARITAS AVE
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Facility Phone: 650 589-8562
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WARREN CHANG MD
  • NPI Number: 1417213554
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2045185
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH SAN FRANCISCO AT HOME
Street 74 CAMARITAS AVE
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Phone 650 589-8562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WARREN CHANG MD

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