05D2073722 CLIA NUMBER - FRN OUTPATIENT SAN FRANCISCO LLC

Laboratory Demographics

  • CLIA Code: 05D2073722
  • Facility Name: FRN OUTPATIENT SAN FRANCISCO LLC
  • Facility Address: 1700 MONTGOMERY ST, STE 435
    SAN FRANCISCO, CA
    ZIP 94111
  • Facility Phone: 415 293-1689
  • Facility Type: Other - DUAL DIAGNOSIS IOP
  • Facility Type: Waiver
  • Lab Director: REEM A. ABU-LIBDEH
  • NPI Number: 1093145005
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2073722
LAB Type Other - DUAL DIAGNOSIS IOP
Facility Name FRN OUTPATIENT SAN FRANCISCO LLC
Street 1700 MONTGOMERY ST, STE 435
City SAN FRANCISCO
State CA
ZIP 94111
Phone 415 293-1689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Other - DUAL DIAGNOSIS IOP
Lab Director REEM A. ABU-LIBDEH

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