Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
05D0928868
|
|
Clinical laboratory number
|
|
Lab Name
|
RICKI POLLYCOVE, M.D.
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
415-923-3390
|
|
Laboratory telephone number
|
|
Fax
|
415-346-3900
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2100 WEBSTER STREET SUITE 320
|
|
Primary location adress line
|
|
City
|
SAN FRANCISCO
|
|
Primary location city name
|
|
State
|
CA
|
|
Primary location state name
|
|
Zip
|
94115-2377
|
|
Primary location postal code
|