05D0932549 CLIA NUMBER - RAI CARE CENTERS OF NORTHERN

Laboratory Demographics

CLIA Number: 05D0932549

Facility Name: RAI CARE CENTERS OF NORTHERN

Facility Address:
610 HEGENBERGER ROAD, SUITE 101B
OAKLAND, CA
ZIP 94621
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Facility Phone Number: (510) 553-1333

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1043384324

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0932549
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	RAI CARE CENTERS OF NORTHERN
Street	610 HEGENBERGER ROAD, SUITE 101B
City	OAKLAND
State	CA
ZIP	94621
Phone	(510) 553-1333

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This page was last updated on: 5/11/2023