05D2313467 CLIA NUMBER - TINA BHUTANI JACQUES MD INC

Laboratory Demographics

  • CLIA Code: 05D2313467
  • Facility Name: TINA BHUTANI JACQUES MD INC
  • Facility Address: 595 BUCKINGHAM WAY STE 220
    SAN FRANCISCO, CA
    ZIP 94132
  • Facility Phone: 415 333-0348
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TINA BHUTANI-JACQUES
  • NPI Number: 1144483124
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2313467
LAB Type Physician Office
Facility Name TINA BHUTANI JACQUES MD INC
Street 595 BUCKINGHAM WAY STE 220
City SAN FRANCISCO
State CA
ZIP 94132
Phone 415 333-0348
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director TINA BHUTANI-JACQUES

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