03D1008810 CLIA NUMBER - RENAL CARE GROUP-SAN CARLOS

Laboratory Demographics

  • CLIA Code: 03D1008810
  • Facility Name: RENAL CARE GROUP-SAN CARLOS
  • Facility Address: 860 US HWY 70
    PERIDOT, AZ
    ZIP 85542
  • Facility Phone: 928 475-5987
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANJAY LAMBA
  • NPI Number: 1487756656
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1008810
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP-SAN CARLOS
Street 860 US HWY 70
City PERIDOT
State AZ
ZIP 85542
Phone 928 475-5987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANJAY LAMBA

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