05D0683953 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SANTA ROSA LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0683953
  • Facility Name: KAISER FOUNDATION HOSPITAL SANTA ROSA LABORATORY
  • Facility Address: 401 BICENTENNIAL WAY
    SANTA ROSA, CA
    ZIP 95403
  • Facility Phone: 707 393-4575
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. LIAN-SONG CHEN
  • NPI Number: 1235275744
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0683953
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL SANTA ROSA LABORATORY
Street 401 BICENTENNIAL WAY
City SANTA ROSA
State CA
ZIP 95403
Phone 707 393-4575
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 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Hospital
Lab Director DR. LIAN-SONG CHEN

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