05D0673159 CLIA NUMBER - KAISER FOUNDATION HOSPITAL FREMONT LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0673159
  • Facility Name: KAISER FOUNDATION HOSPITAL FREMONT LABORATORY
  • Facility Address: 39400 PASEO PADRE PARKWAY
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 795-3149
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JEFFREY G. MOORE
  • NPI Number: 1972173433
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0673159
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL FREMONT LABORATORY
Street 39400 PASEO PADRE PARKWAY
City FREMONT
State CA
ZIP 94538
Phone 510 795-3149
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 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Hospital
Lab Director DR. JEFFREY G. MOORE

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