05D0873509 CLIA NUMBER - VALLEJO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0873509
  • Facility Name: VALLEJO DIALYSIS
  • Facility Address: 830 REDWOOD ST
    VALLEJO, CA
    ZIP 94590
  • Facility Phone: 707 642-2016
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CLAUDIA IOTA-HERBEI
  • NPI Number: 1265669444
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0873509
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VALLEJO DIALYSIS
Street 830 REDWOOD ST
City VALLEJO
State CA
ZIP 94590
Phone 707 642-2016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2023
Certificate Expiration Date 7/22/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CLAUDIA IOTA-HERBEI

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This page was last updated on: 3/20/2025