05D2262623 CLIA NUMBER - SONG DENTAL PRACTICE, INC DENTAL IMPLANT AND ORAL SURGERY OF SAN FRANCISCO

Laboratory Demographics

  • CLIA Code: 05D2262623
  • Facility Name: SONG DENTAL PRACTICE, INC DENTAL IMPLANT AND ORAL SURGERY OF SAN FRANCISCO
  • Facility Address: 2001 UNION ST STE 280
    SAN FRANCISCO, CA
    ZIP 94123
  • Facility Phone: 415 931-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS SONG
  • NPI Number: 1295244119
  • Taxonomy: 261QS0112X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2262623
LAB Type Physician Office
Facility Name SONG DENTAL PRACTICE, INC DENTAL IMPLANT AND ORAL SURGERY OF SAN FRANCISCO
Street 2001 UNION ST STE 280
City SAN FRANCISCO
State CA
ZIP 94123
Phone 415 931-3100
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