05D1087670 CLIA NUMBER - KAISER FOUNDATION HOSPITAL FOLSOM ASU

Laboratory Demographics

  • CLIA Code: 05D1087670
  • Facility Name: KAISER FOUNDATION HOSPITAL FOLSOM ASU
  • Facility Address: 285 PALLADIO PARKWAY
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 953-3609
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONDEE ALMAZAN
  • NPI Number: 1356498687
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1087670
LAB Type Ambulatory Surgery Center
Facility Name KAISER FOUNDATION HOSPITAL FOLSOM ASU
Street 285 PALLADIO PARKWAY
City FOLSOM
State CA
ZIP 95630
Phone 916 953-3609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DONDEE ALMAZAN

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