05D2159523 CLIA NUMBER - CHILDREN'S HEALTH CENTER AT ZUCKERBERG SF GENERAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D2159523
  • Facility Name: CHILDREN'S HEALTH CENTER AT ZUCKERBERG SF GENERAL HOSPITAL
  • Facility Address: 1001 POTRERO AVE, 6M
    SAN FRANCISCO, CA
    ZIP 94110
  • Facility Phone: 628 206-3630
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DAVID GORDON
  • NPI Number: 1982937322
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2159523
LAB Type Community Clinic
Facility Name CHILDREN'S HEALTH CENTER AT ZUCKERBERG SF GENERAL HOSPITAL
Street 1001 POTRERO AVE, 6M
City SAN FRANCISCO
State CA
ZIP 94110
Phone 628 206-3630
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 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Community Clinic
Lab Director DAVID GORDON

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