05D0702579 CLIA NUMBER - KAISER FOUNDATION HOSPITAL RIVERSIDE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0702579
  • Facility Name: KAISER FOUNDATION HOSPITAL RIVERSIDE LABORATORY
  • Facility Address: 10800 MAGNOLIA AVE
    RIVERSIDE, CA
    ZIP 92505
  • Facility Phone: 951 353-4256
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MARK T. TAIRA
  • NPI Number: 1447308275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0702579
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL RIVERSIDE LABORATORY
Street 10800 MAGNOLIA AVE
City RIVERSIDE
State CA
ZIP 92505
Phone 951 353-4256
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director MARK T. TAIRA

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