05D0718196 CLIA NUMBER - RAI CARE CENTERS OF NORTHERN CA II, LLC (RAI-TELEGRAPH-PIEDMONT)

Laboratory Demographics

CLIA Number: 05D0718196

Facility Name: RAI CARE CENTERS OF NORTHERN CA II, LLC (RAI-TELEGRAPH-PIEDMONT)

Facility Address:
2710 TELEGRAPH AVE STE 100
OAKLAND, CA
ZIP 94612
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Facility Phone Number: 510 286-9948

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033283395

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0718196
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RAI CARE CENTERS OF NORTHERN CA II, LLC (RAI-TELEGRAPH-PIEDMONT)
Street	2710 TELEGRAPH AVE STE 100
City	OAKLAND
State	CA
ZIP	94612
Phone	510 286-9948
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