05D0689165 CLIA NUMBER - KAISER FOUNDATION HOSPITALS SAN DIEGO ICU, NICU, ER LABS

Laboratory Demographics

  • CLIA Code: 05D0689165
  • Facility Name: KAISER FOUNDATION HOSPITALS SAN DIEGO ICU, NICU, ER LABS
  • Facility Address: 4647 ZION AVE
    SAN DIEGO, CA
    ZIP 92120
  • Facility Phone: 619 528-5513
  • Facility Type: Other
  • Facility Type: Accreditation
  • Lab Director: DR. IWONA A. TRYBUS
  • NPI Number: 1790223212
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0689165
LAB Type Other
Facility Name KAISER FOUNDATION HOSPITALS SAN DIEGO ICU, NICU, ER LABS
Street 4647 ZION AVE
City SAN DIEGO
State CA
ZIP 92120
Phone 619 528-5513
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 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Other
Lab Director DR. IWONA A. TRYBUS

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