05D0570407 CLIA NUMBER - SAN DIEGO DIALYSIS SERVICES INC

Laboratory Demographics

CLIA Number: 05D0570407

Facility Name: SAN DIEGO DIALYSIS SERVICES INC

Facility Address:
303 WEST 26TH STREET
NATIONAL CITY, CA
ZIP 91950
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Facility Phone Number: (619) 474-8151

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1659483451

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0570407
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name SAN DIEGO DIALYSIS SERVICES INC
Street 303 WEST 26TH STREET
City NATIONAL CITY
State CA
ZIP 91950
Phone (619) 474-8151

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This page was last updated on: 1/7/2022