05D2096393 CLIA NUMBER - MOZAIC CARE INC

Laboratory Demographics

  • CLIA Code: 05D2096393
  • Facility Name: MOZAIC CARE INC
  • Facility Address: 45 CASTRO ST STE 324
    SAN FRANCISCO, CA
    ZIP 94114
  • Facility Phone: 415 395-9895
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI WITTENBERG
  • NPI Number: 1932622677
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2096393
LAB Type Physician Office
Facility Name MOZAIC CARE INC
Street 45 CASTRO ST STE 324
City SAN FRANCISCO
State CA
ZIP 94114
Phone 415 395-9895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director HEIDI WITTENBERG

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