05D0877111 CLIA NUMBER - MONTEREY PENINSULA DIALYSIS LLC DBA U.S. RENAL CARE MONTEREY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0877111
  • Facility Name: MONTEREY PENINSULA DIALYSIS LLC DBA U.S. RENAL CARE MONTEREY DIALYSIS
  • Facility Address: 2066 N FREMONT
    MONTEREY, CA
    ZIP 93940
  • Facility Phone: 931 655-6950
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY CHEN
  • NPI Number: 1629049333
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0877111
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONTEREY PENINSULA DIALYSIS LLC DBA U.S. RENAL CARE MONTEREY DIALYSIS
Street 2066 N FREMONT
City MONTEREY
State CA
ZIP 93940
Phone 931 655-6950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEFFREY CHEN

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