05D2031198 CLIA NUMBER - KAISER FOUNDATION HOSPITAL BLOOD GAS LABORATORY, ONTARIO

Laboratory Demographics

  • CLIA Code: 05D2031198
  • Facility Name: KAISER FOUNDATION HOSPITAL BLOOD GAS LABORATORY, ONTARIO
  • Facility Address: 2295 S VINEYARD AVE
    ONTARIO, CA
    ZIP 91761
  • Facility Phone: 909 724-3993
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. TIM K. SHEN
  • NPI Number: 1245387570
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2031198
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL BLOOD GAS LABORATORY, ONTARIO
Street 2295 S VINEYARD AVE
City ONTARIO
State CA
ZIP 91761
Phone 909 724-3993
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Hospital
Lab Director DR. TIM K. SHEN

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