05D0707770 CLIA NUMBER - SATELLITE DIALYSIS CENTERS, INC

Laboratory Demographics

CLIA Number: 05D0707770

Facility Name: SATELLITE DIALYSIS CENTERS, INC

Facility Address:
565 SIR FRANCIS DRAKE BLVD
GREENBRAE, CA
ZIP 94904
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Facility Phone Number: 415 924-8622

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1164493276

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0707770
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SATELLITE DIALYSIS CENTERS, INC
Street	565 SIR FRANCIS DRAKE BLVD
City	GREENBRAE
State	CA
ZIP	94904
Phone	415 924-8622
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