05D0685654 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SAN RAFAEL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0685654
  • Facility Name: KAISER FOUNDATION HOSPITAL SAN RAFAEL LABORATORY
  • Facility Address: 99 MONTECILLO ROAD
    SAN RAFAEL, CA
    ZIP 94903
  • Facility Phone: 415 499-2063
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN F. KUNKEL
  • NPI Number: 1659946812
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0685654
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL SAN RAFAEL LABORATORY
Street 99 MONTECILLO ROAD
City SAN RAFAEL
State CA
ZIP 94903
Phone 415 499-2063
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 Health Main. Organization
Lab Director DR. JOHN F. KUNKEL

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