Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
05D2272208
|
|
Clinical laboratory number
|
|
Lab Name
|
TIA MEDICAL GROUP
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
646-983-3775
|
|
Laboratory telephone number
|
|
Fax
|
646-871-6820
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1500 MISSION ST
|
|
Primary location adress line
|
|
City
|
SAN FRANCISCO
|
|
Primary location city name
|
|
State
|
CA
|
|
Primary location state name
|
|
Zip
|
94103
|
|
Primary location postal code
|