05D1025027 CLIA NUMBER - KAISER FOUNDATION HOSPITAL LABORATORY-ONTARIO

Laboratory Demographics

CLIA Number: 05D1025027

Facility Name: KAISER FOUNDATION HOSPITAL LABORATORY-ONTARIO

Facility Address:
2295 S VINEYARD AVE
ONTARIO, CA
ZIP 91761
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Facility Phone Number: 909 302-8068

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1245387570

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D1025027
LAB Type	Hospital
Facility Name	KAISER FOUNDATION HOSPITAL LABORATORY-ONTARIO
Street	2295 S VINEYARD AVE
City	ONTARIO
State	CA
ZIP	91761
Phone	909 302-8068
CertificateType	1
CertificateEffectiveDate	10/14/2022
CertificateExpirationDate	10/13/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024