05D2091120 CLIA NUMBER - UCSF MEDICAL GROUP BUSINESS SERVICES

Laboratory Demographics

  • CLIA Code: 05D2091120
  • Facility Name: UCSF MEDICAL GROUP BUSINESS SERVICES
  • Facility Address: 24 WILLIE MAYS PLAZA CLINIC B
    SAN FRANCISCO, CA
    ZIP 94107
  • Facility Phone: 415 353-8497
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN P. CUDAHY
  • NPI Number: 1124044680
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2091120
LAB Type Physician Office
Facility Name UCSF MEDICAL GROUP BUSINESS SERVICES
Street 24 WILLIE MAYS PLAZA CLINIC B
City SAN FRANCISCO
State CA
ZIP 94107
Phone 415 353-8497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director RYAN P. CUDAHY

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