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05D2091120 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

CLIA Number: 05D2091120

Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION

Facility Address:
24 WILLIE MAYS PLAZA
SAN FRANCISCO, CA
ZIP 94107
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Facility Phone Number: 415 947-3096

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1124044680

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 05D2091120
LAB Type Physician Office
Facility Name DIGNITY HEALTH MEDICAL FOUNDATION
Street 24 WILLIE MAYS PLAZA
City SAN FRANCISCO
State CA
ZIP 94107
Phone 415 947-3096
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