05D2131244 CLIA NUMBER - ST. JAMES INFIRMARY

Laboratory Demographics

CLIA Number: 05D2131244

Facility Name: ST. JAMES INFIRMARY

Facility Address:
730 POLK ST
SAN FRANCISCO, CA
ZIP 94109
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Facility Phone Number: 415 902-7429

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1154543254

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2131244
LAB Type	Community Clinic
Facility Name	ST. JAMES INFIRMARY
Street	730 POLK ST
City	SAN FRANCISCO
State	CA
ZIP	94109
Phone	415 902-7429
CertificateType	3
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	PPMP

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