05D2176991 CLIA NUMBER - HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION

Laboratory Demographics

CLIA Number: 05D2176991

Facility Name: HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION

Facility Address:
325 SACRAMENTO STREET
SAN FRANCISCO, CA
ZIP 94111
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Facility Phone Number: 415 321-4674

Facility Type: Other - OUTPATIENT MEDICAL IMAGIN

Certificate Type: Waiver

NPI Number: 1154548006

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2176991
LAB Type	Other - OUTPATIENT MEDICAL IMAGIN
Facility Name	HEALTH DIAGNOSTICS OF CALIFORNIA A PROFESSIONAL CORPORATION
Street	325 SACRAMENTO STREET
City	SAN FRANCISCO
State	CA
ZIP	94111
Phone	415 321-4674
CertificateType	4
CertificateEffectiveDate	12/31/2023
CertificateExpirationDate	12/30/2025
FacilityType	Waiver

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