05D2110299 CLIA NUMBER - PRESIDIO DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2110299
  • Facility Name: PRESIDIO DERMATOLOGY
  • Facility Address: 2211 POST ST STE 404
    SAN FRANCISCO, CA
    ZIP 94115
  • Facility Phone: 415 441-1670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANA B. CAMARILLO MD
  • NPI Number: 1609826361
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2110299
LAB Type Physician Office
Facility Name PRESIDIO DERMATOLOGY
Street 2211 POST ST STE 404
City SAN FRANCISCO
State CA
ZIP 94115
Phone 415 441-1670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DIANA B. CAMARILLO MD

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