05D2280869 CLIA NUMBER - KAISER FOUNDATION HOSPITAL SAN MARCOS

Laboratory Demographics

  • CLIA Code: 05D2280869
  • Facility Name: KAISER FOUNDATION HOSPITAL SAN MARCOS
  • Facility Address: 360 RUSH DR
    SAN MARCOS, CA
    ZIP 92078
  • Facility Phone: 442 385-7705
  • Facility Type: Health Main. Organization
  • Facility Type: Microscopy
  • Lab Director: FELIX A. DENISON
  • NPI Number: 1407912777
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2280869
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL SAN MARCOS
Street 360 RUSH DR
City SAN MARCOS
State CA
ZIP 92078
Phone 442 385-7705
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Health Main. Organization
Lab Director FELIX A. DENISON

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