05D2128447 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SAN DIEGO BLOOD GAS LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2128447
  • Facility Name: KAISER FOUNDATION HOSPITAL SAN DIEGO BLOOD GAS LABORATORY
  • Facility Address: 9455 CLAIREMONT MESA BLVD RMS 1428H, 3438, 4164A
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 619 200-5466
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. IWONA A. TRYBUS
  • NPI Number: 1013062769
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2128447
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL SAN DIEGO BLOOD GAS LABORATORY
Street 9455 CLAIREMONT MESA BLVD RMS 1428H, 3438, 4164A
City SAN DIEGO
State CA
ZIP 92123
Phone 619 200-5466
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 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Health Main. Organization
Lab Director DR. IWONA A. TRYBUS

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