05D0931709 CLIA NUMBER - SOUTH SACRAMENTO DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0931709
  • Facility Name: SOUTH SACRAMENTO DIALYSIS CENTER
  • Facility Address: 8275 BRUCEVILLE ROAD
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 427-2561
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN HOWARD III
  • NPI Number: 1427011550
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0931709
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH SACRAMENTO DIALYSIS CENTER
Street 8275 BRUCEVILLE ROAD
City SACRAMENTO
State CA
ZIP 95823
Phone 916 427-2561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN HOWARD III

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