05D2262620 CLIA NUMBER - SONG DENTAL GROUP,INC SONG ORAL SURGERY

Laboratory Demographics

  • CLIA Code: 05D2262620
  • Facility Name: SONG DENTAL GROUP,INC SONG ORAL SURGERY
  • Facility Address: 3109 GEARY BLVD
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 668-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS SONG
  • NPI Number: 1649599267
  • Taxonomy: 261QS0112X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2262620
LAB Type Physician Office
Facility Name SONG DENTAL GROUP,INC SONG ORAL SURGERY
Street 3109 GEARY BLVD
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 668-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director DENNIS SONG

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