05D0972731 CLIA NUMBER - KAISER FOUNDATION HOSP HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D0972731
  • Facility Name: KAISER FOUNDATION HOSP HOME HEALTH
  • Facility Address: 4131 GEARY BLVD 4TH FL
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 833-2700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GAYATRI KHANNA
  • NPI Number: 1366999021
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0972731
LAB Type Home Health Agency
Facility Name KAISER FOUNDATION HOSP HOME HEALTH
Street 4131 GEARY BLVD 4TH FL
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 833-2700
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 GAYATRI KHANNA

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