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

Laboratory Demographics

CLIA Number: 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
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Facility Phone Number: 310 517-2648

Facility Type: Health Main. Organization

Certificate Type: Accreditation

NPI Number: 1881204907

Taxonomy: 3336C0004X - Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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
CertificateType	1
CertificateEffectiveDate	1/28/2023
CertificateExpirationDate	1/27/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024