05D0933365 CLIA NUMBER - SAN LUIS OBISPO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0933365
  • Facility Name: SAN LUIS OBISPO DIALYSIS
  • Facility Address: 1043 MARSH ST
    SAN LUIS OBISPO, CA
    ZIP 93402
  • Facility Phone: 805 543-1013
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL DIBIASE MD
  • NPI Number: 1023327467
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0933365
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN LUIS OBISPO DIALYSIS
Street 1043 MARSH ST
City SAN LUIS OBISPO
State CA
ZIP 93402
Phone 805 543-1013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL DIBIASE MD

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