05D0944000 CLIA NUMBER - OAKLAND PERITONEAL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0944000
  • Facility Name: OAKLAND PERITONEAL DIALYSIS CENTER
  • Facility Address: 5352 CLAREMONT AVE
    OAKLAND, CA
    ZIP 94618
  • Facility Phone: 510 597-0398
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OLIVER KHAKMAHD
  • NPI Number: 1568699882
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0944000
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OAKLAND PERITONEAL DIALYSIS CENTER
Street 5352 CLAREMONT AVE
City OAKLAND
State CA
ZIP 94618
Phone 510 597-0398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OLIVER KHAKMAHD

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