05D0573874 CLIA NUMBER - KAISER FOUNDATION HOSPITAL - MORENO VALLEY

Laboratory Demographics

  • CLIA Code: 05D0573874
  • Facility Name: KAISER FOUNDATION HOSPITAL - MORENO VALLEY
  • Facility Address: 27300 IRIS AVE
    MORENO VALLEY, CA
    ZIP 92555
  • Facility Phone: 951 243-2011
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARK T. TAIRA
  • NPI Number: 1104070242
  • Taxonomy: 3336I0012X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0573874
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL - MORENO VALLEY
Street 27300 IRIS AVE
City MORENO VALLEY
State CA
ZIP 92555
Phone 951 243-2011
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 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospital
Lab Director DR. MARK T. TAIRA

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This page was last updated on: 6/4/2025