05D2077472 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SAN LEANDRO LABORATORY

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Laboratory Demographics

CLIA Number: 05D2077472

Facility Name: KAISER FOUNDATION HOSPITAL SAN LEANDRO LABORATORY

Facility Address:
2500 MERCED ST
SAN LEANDRO, CA
ZIP 94577
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Facility Phone Number: 510 454-6760

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1245305952

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	1
CertificateEffectiveDate	1/21/2023
CertificateExpirationDate	1/20/2025
FacilityType	Accreditation

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