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05D2048798 CLIA NUMBER - CENTER FOR MINIMALLY INVASIVE GYNECOLOGIC SURGERY & UROGYNECOLOGY

Laboratory Demographics

CLIA Number: 05D2048798

Facility Name: CENTER FOR MINIMALLY INVASIVE GYNECOLOGIC SURGERY & UROGYNECOLOGY

Facility Address:
1500 OWENS ST STE 380
SAN FRANCISCO, CA
ZIP 94158
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Facility Phone Number: 415 353-8628

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Microscopy
NPI Number: 1124468699

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 05D2048798
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CENTER FOR MINIMALLY INVASIVE GYNECOLOGIC SURGERY & UROGYNECOLOGY
Street 1500 OWENS ST STE 380
City SAN FRANCISCO
State CA
ZIP 94158
Phone 415 353-8628
CertificateType 3
CertificateEffectiveDate 10/23/2022
CertificateExpirationDate 10/22/2024
FacilityType PPMP

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