05D0571765 CLIA NUMBER - SAN DIEGO DIALYSIS SERVICES INC

Laboratory Demographics

CLIA Number: 05D0571765

Facility Name: SAN DIEGO DIALYSIS SERVICES INC

Facility Address:
2252 VERUS STREET
SAN DIEGO, CA
ZIP 92154
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Facility Phone Number: (619) 429-9201

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1477665271

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0571765
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	SAN DIEGO DIALYSIS SERVICES INC
Street	2252 VERUS STREET
City	SAN DIEGO
State	CA
ZIP	92154
Phone	(619) 429-9201

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This page was last updated on: 5/11/2023