05D0930579 CLIA NUMBER - UNIVERSITY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0930579
  • Facility Name: UNIVERSITY DIALYSIS CENTER
  • Facility Address: 333 UNIVERSITY AVE STE 100
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 916 920-0877
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RATNAJI NALLAMOTHU, MD
  • NPI Number: 1124081195
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0930579
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNIVERSITY DIALYSIS CENTER
Street 333 UNIVERSITY AVE STE 100
City SACRAMENTO
State CA
ZIP 95825
Phone 916 920-0877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RATNAJI NALLAMOTHU, MD

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