05D0616203 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SOUTH SACRAMENTO LAB

Laboratory Demographics

  • CLIA Code: 05D0616203
  • Facility Name: KAISER FOUNDATION HOSPITAL SOUTH SACRAMENTO LAB
  • Facility Address: 6600 BRUCEVILLE RD ATTN SUE TRAUB, LAB
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 688-2764
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ZHICHENG MO
  • NPI Number: 1548794662
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0616203
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL SOUTH SACRAMENTO LAB
Street 6600 BRUCEVILLE RD ATTN SUE TRAUB, LAB
City SACRAMENTO
State CA
ZIP 95823
Phone 916 688-2764
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 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Hospital
Lab Director DR. ZHICHENG MO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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