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03D0531510 CLIA NUMBER - YUMA DIALYSIS

Laboratory Demographics

CLIA Number: 03D0531510

Facility Name: YUMA DIALYSIS

Facility Address:
2130 WEST 24TH STREET
YUMA, AZ
ZIP 85364
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Facility Phone Number: 928 783-2365

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1164785747

Taxonomy: 281P00000X - Chronic Disease Hospital
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.

CLIA Record

Field Name Field Value
CLIA Number 03D0531510
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name YUMA DIALYSIS
Street 2130 WEST 24TH STREET
City YUMA
State AZ
ZIP 85364
Phone 928 783-2365
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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