05D2242725 CLIA NUMBER - AUSTIN SFSC, LLC

Laboratory Demographics

  • CLIA Code: 05D2242725
  • Facility Name: AUSTIN SFSC, LLC
  • Facility Address: 1545 PINE STREET APT 109
    SAN FRANCISCO, CA
    ZIP 94109
  • Facility Phone: 415 933-8330
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLES LEE
  • NPI Number: 1437733896
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2242725
LAB Type Ambulatory Surgery Center
Facility Name AUSTIN SFSC, LLC
Street 1545 PINE STREET APT 109
City SAN FRANCISCO
State CA
ZIP 94109
Phone 415 933-8330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Ambulatory Surgery Center
Lab Director CHARLES LEE

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