05D2157419 CLIA NUMBER - ZSFG FAMILY & COMMUNITY MEDICINE SERVICE

Laboratory Demographics

  • CLIA Code: 05D2157419
  • Facility Name: ZSFG FAMILY & COMMUNITY MEDICINE SERVICE
  • Facility Address: 1001 POTRERO AVENUE BLDGS 80/90
    SAN FRANCISCO, CA
    ZIP 94110
  • Facility Phone: 415 206-6881
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: TERESA VILLELA
  • NPI Number: 1700629474
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2157419
LAB Type Community Clinic
Facility Name ZSFG FAMILY & COMMUNITY MEDICINE SERVICE
Street 1001 POTRERO AVENUE BLDGS 80/90
City SAN FRANCISCO
State CA
ZIP 94110
Phone 415 206-6881
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Community Clinic
Lab Director TERESA VILLELA

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