05D2279691 CLIA NUMBER - KAISER FOUNDATION HOSPITAL MURRIETA LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2279691
  • Facility Name: KAISER FOUNDATION HOSPITAL MURRIETA LABORATORY
  • Facility Address: 28150 KELLER RD, BLDG 2
    MURRIETA, CA
    ZIP 92563
  • Facility Phone: 951 606-2889
  • Facility Type: Health Main. Organization
  • Facility Type: Accreditation
  • Lab Director: DR. MARK T. TAIRA
  • NPI Number: 1093232282
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2279691
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL MURRIETA LABORATORY
Street 28150 KELLER RD, BLDG 2
City MURRIETA
State CA
ZIP 92563
Phone 951 606-2889
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 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Health Main. Organization
Lab Director DR. MARK T. TAIRA

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This page was last updated on: 6/4/2025