05D0951361 CLIA NUMBER - ORANGEVALE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 05D0951361

Facility Name: ORANGEVALE DIALYSIS CENTER

Facility Address:
9267 GREENBACK LN, STE A2
ORANGEVALE, CA
ZIP 95662
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Facility Phone Number: (916) 988-5666

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1215990478

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0951361
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	ORANGEVALE DIALYSIS CENTER
Street	9267 GREENBACK LN, STE A2
City	ORANGEVALE
State	CA
ZIP	95662
Phone	(916) 988-5666

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