05D0063339 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SAN JOSE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0063339
  • Facility Name: KAISER FOUNDATION HOSPITAL SAN JOSE LABORATORY
  • Facility Address: 250 HOSPITAL PKWY
    SAN JOSE, CA
    ZIP 95119
  • Facility Phone: 408 972-7263
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SREELAKSHMI RAVULA
  • NPI Number: 1376093252
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0063339
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL SAN JOSE LABORATORY
Street 250 HOSPITAL PKWY
City SAN JOSE
State CA
ZIP 95119
Phone 408 972-7263
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. SREELAKSHMI RAVULA

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