05D0909202 CLIA NUMBER - KAISER FOUNDATION HOSPITAL BLOOD GAS LAB FONTANA

Laboratory Demographics

  • CLIA Code: 05D0909202
  • Facility Name: KAISER FOUNDATION HOSPITAL BLOOD GAS LAB FONTANA
  • Facility Address: 9961 SIERRA AVE
    FONTANA, CA
    ZIP 92335
  • Facility Phone: 909 302-8997
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. TIM K. SHEN
  • NPI Number: 1962568238
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0909202
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL BLOOD GAS LAB FONTANA
Street 9961 SIERRA AVE
City FONTANA
State CA
ZIP 92335
Phone 909 302-8997
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 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Health Main. Organization
Lab Director DR. TIM K. SHEN

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