05D0929607 CLIA NUMBER - OAKLAND DIALYSIS

Laboratory Demographics

CLIA Number: 05D0929607

Facility Name: OAKLAND DIALYSIS

Facility Address:
5354 CLAREMONT AVENUE
OAKLAND, CA
ZIP 94611
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Facility Phone Number: 510 597-0104

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1447224365

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0929607
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OAKLAND DIALYSIS
Street	5354 CLAREMONT AVENUE
City	OAKLAND
State	CA
ZIP	94611
Phone	510 597-0104
CertificateType	4
CertificateEffectiveDate	6/19/2023
CertificateExpirationDate	6/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024