05D2263871 CLIA NUMBER - SUTTER PACIFIC MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2263871
  • Facility Name: SUTTER PACIFIC MEDICAL FOUNDATION
  • Facility Address: 2100 WEBSTER ST
    SAN FRANCISCO, CA
    ZIP 94115
  • Facility Phone: 707 523-7220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHILPA SHAH
  • NPI Number: 1104852789
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2263871
LAB Type Physician Office
Facility Name SUTTER PACIFIC MEDICAL FOUNDATION
Street 2100 WEBSTER ST
City SAN FRANCISCO
State CA
ZIP 94115
Phone 707 523-7220
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 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director SHILPA SHAH

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