05D0913046 CLIA NUMBER - DELTA SIERRA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0913046
  • Facility Name: DELTA SIERRA DIALYSIS CENTER
  • Facility Address: 7500 WEST LANE
    STOCKTON, CA
    ZIP 95210
  • Facility Phone: 530 892-9937
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAGIREDDY PURUSHOTTAMA
  • NPI Number: 1922069319
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0913046
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DELTA SIERRA DIALYSIS CENTER
Street 7500 WEST LANE
City STOCKTON
State CA
ZIP 95210
Phone 530 892-9937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAGIREDDY PURUSHOTTAMA

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