05D2091117 CLIA NUMBER - VICTOR KWOK, MD

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Laboratory Demographics

CLIA Number: 05D2091117

Facility Name: VICTOR KWOK, MD

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

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669870119

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D2091117
LAB Type	Physician Office
Facility Name	VICTOR KWOK, MD
Street	1431 NORIEGA ST
City	SAN FRANCISCO
State	CA
ZIP	94122
Phone	415 759-3777
CertificateType	4
CertificateEffectiveDate	2/5/2023
CertificateExpirationDate	2/4/2025
FacilityType	Waiver

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