05D0686400 CLIA NUMBER - KAISER FOUNDATION HOSPITAL / HARBOR CITY BLOOD GAS LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0686400
  • Facility Name: KAISER FOUNDATION HOSPITAL / HARBOR CITY BLOOD GAS LABORATORY
  • Facility Address: 25825 S VERMONT AVE, ROOMS #3017 AND 27326
    HARBOR CITY, CA
    ZIP 90710
  • Facility Phone: 310 517-2648
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. LAWRENCE R. TOM
  • NPI Number: 1881204907
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0686400
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL / HARBOR CITY BLOOD GAS LABORATORY
Street 25825 S VERMONT AVE, ROOMS #3017 AND 27326
City HARBOR CITY
State CA
ZIP 90710
Phone 310 517-2648
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 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Health Main. Organization
Lab Director DR. LAWRENCE R. TOM

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