05D0711649 CLIA NUMBER - NORTH COAST KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 05D0711649
  • Facility Name: NORTH COAST KIDNEY CENTER
  • Facility Address: 3300 VISTA WAY
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 619 631-0094
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD BARAGER
  • NPI Number: 1801287214
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D0711649
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH COAST KIDNEY CENTER
Street 3300 VISTA WAY
City OCEANSIDE
State CA
ZIP 92056
Phone 619 631-0094
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 RICHARD BARAGER

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