05D0949913 CLIA NUMBER - KAISER FOUNDATION HOSPITAL-ROSEVILLE

Laboratory Demographics

  • CLIA Code: 05D0949913
  • Facility Name: KAISER FOUNDATION HOSPITAL-ROSEVILLE
  • Facility Address: 1600 EUREKA ROAD
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 784-4542
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: I-TING T. YU MD
  • NPI Number: 1205073244
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0949913
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL-ROSEVILLE
Street 1600 EUREKA ROAD
City ROSEVILLE
State CA
ZIP 95661
Phone 916 784-4542
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Hospital
Lab Director I-TING T. YU MD

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