05D0972730 CLIA NUMBER - KAISER SAN RAFAEL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D0972730
  • Facility Name: KAISER SAN RAFAEL HOME HEALTH
  • Facility Address: 7200 REDWOOD BLVD SUITE 200
    NOVATO, CA
    ZIP 94945
  • Facility Phone: 415 833-4132
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JUN YANG
  • NPI Number: 1487722534
  • Taxonomy: 261QA0005X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0972730
LAB Type Home Health Agency
Facility Name KAISER SAN RAFAEL HOME HEALTH
Street 7200 REDWOOD BLVD SUITE 200
City NOVATO
State CA
ZIP 94945
Phone 415 833-4132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Home Health Agency
Lab Director JUN YANG

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