05D1052056 CLIA NUMBER - KAISER FOUNDATION HOSPITAL OAKLAND LABORATORY (POCT)

Laboratory Demographics

  • CLIA Code: 05D1052056
  • Facility Name: KAISER FOUNDATION HOSPITAL OAKLAND LABORATORY (POCT)
  • Facility Address: 275 W MACARTHUR BLVD
    OAKLAND, CA
    ZIP 94611
  • Facility Phone: 510 407-9697
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: LIPING W. SONG
  • NPI Number: 1568721041
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D1052056
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL OAKLAND LABORATORY (POCT)
Street 275 W MACARTHUR BLVD
City OAKLAND
State CA
ZIP 94611
Phone 510 407-9697
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 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Hospital
Lab Director LIPING W. SONG

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