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05D2108301 CLIA NUMBER - PACIFIC GYNECOLOGY SURGICAL GROUP

Laboratory Demographics

CLIA Number: 05D2108301

Facility Name: PACIFIC GYNECOLOGY SURGICAL GROUP

Facility Address:
2100 WEBSTER ST STE 518
SAN FRANCISCO, CA
ZIP 94115
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Facility Phone Number: 415 426-7859

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1861865479

Taxonomy: 207VF0040X - Obstetrics & Gynecology
An obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

CLIA Record

Field Name Field Value
CLIA Number 05D2108301
LAB Type Physician Office
Facility Name PACIFIC GYNECOLOGY SURGICAL GROUP
Street 2100 WEBSTER ST STE 518
City SAN FRANCISCO
State CA
ZIP 94115
Phone 415 426-7859
CertificateType 3
CertificateEffectiveDate 2/2/2024
CertificateExpirationDate 2/1/2026
FacilityType PPMP

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