05D0571765 CLIA NUMBER - SAN DIEGO DIALYSIS SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D0571765
  • Facility Name: SAN DIEGO DIALYSIS SERVICES INC
  • Facility Address: 2252 VERUS STREET
    SAN DIEGO, CA
    ZIP 92154
  • Facility Phone: 619 429-9201
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH LOZADA-PASTORIO, MD
  • NPI Number: 1477665271
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0571765
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN DIEGO DIALYSIS SERVICES INC
Street 2252 VERUS STREET
City SAN DIEGO
State CA
ZIP 92154
Phone 619 429-9201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ELIZABETH LOZADA-PASTORIO, MD

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