05D0862596 CLIA NUMBER - EAST BAY PERITONEAL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0862596
  • Facility Name: EAST BAY PERITONEAL DIALYSIS CENTER
  • Facility Address: 13939 E 14TH STREET,#110
    SAN LEANDRO, CA
    ZIP 94577
  • Facility Phone: 510 614-1380
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANNE YU
  • NPI Number: 1184683401
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0862596
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST BAY PERITONEAL DIALYSIS CENTER
Street 13939 E 14TH STREET,#110
City SAN LEANDRO
State CA
ZIP 94577
Phone 510 614-1380
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 ANNE YU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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