05D2294332 CLIA NUMBER - ANNE THAI MD A PROFESSIONAL CORPORATION

Laboratory Demographics

CLIA Number: 05D2294332

Facility Name: ANNE THAI MD A PROFESSIONAL CORPORATION

Facility Address:
1720 EL CAMINO REAL STE 135
BURLINGAME, CA
ZIP 94010
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Facility Phone Number: 650 685-6105

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1831366798

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2294332
LAB Type	Physician Office
Facility Name	ANNE THAI MD A PROFESSIONAL CORPORATION
Street	1720 EL CAMINO REAL STE 135
City	BURLINGAME
State	CA
ZIP	94010
Phone	650 685-6105
CertificateType	2
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Compliance

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