05D2142118 CLIA NUMBER - SAN FRANCISCO CITY IMPACT HEALTH & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2142118
  • Facility Name: SAN FRANCISCO CITY IMPACT HEALTH & WELLNESS CENTER
  • Facility Address: 140 TURK STREET
    SAN FRANCISCO, CA
    ZIP 94102
  • Facility Phone: 415 738-6878
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GERALD HOM, MD
  • NPI Number: 1831513092
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2142118
LAB Type Community Clinic
Facility Name SAN FRANCISCO CITY IMPACT HEALTH & WELLNESS CENTER
Street 140 TURK STREET
City SAN FRANCISCO
State CA
ZIP 94102
Phone 415 738-6878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Community Clinic
Lab Director GERALD HOM, MD

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