Organization
PACIFIC AVENUE MEDICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN OWYANG CLS (LABORATORY MANAGER/OWNER)
(415) 982-8828
Entity
Organization
Contact information
Practice address
728 PACIFIC AVE, SUITE #401, SAN FRANCISCO, CA 94133-4457
(415) 982-8828
(415) 982-8831
Mailing address
728 PACIFIC AVE, SUITE #401, SAN FRANCISCO, CA 94133-4457
(415) 982-8828
(415) 982-8831
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 4446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB58442F
—
CA
Enumeration date
02/13/2006
Last updated
08/22/2020
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