05D2077472 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SAN LEANDRO LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2077472
  • Facility Name: KAISER FOUNDATION HOSPITAL SAN LEANDRO LABORATORY
  • Facility Address: 2500 MERCED ST
    SAN LEANDRO, CA
    ZIP 94577
  • Facility Phone: 510 454-6760
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JEFFREY G. MOORE
  • NPI Number: 1245305952
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2077472
LAB Type Hospital
Facility Name KAISER FOUNDATION HOSPITAL SAN LEANDRO LABORATORY
Street 2500 MERCED ST
City SAN LEANDRO
State CA
ZIP 94577
Phone 510 454-6760
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 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Hospital
Lab Director DR. JEFFREY G. MOORE

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