05D0957732 CLIA NUMBER - SOUTH HAYWARD DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0957732
  • Facility Name: SOUTH HAYWARD DIALYSIS
  • Facility Address: 254 JACKSON ST
    HAYWARD, CA
    ZIP 94544
  • Facility Phone: 510 583-1255
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: QI CHE
  • NPI Number: 1770546897
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0957732
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTH HAYWARD DIALYSIS
Street 254 JACKSON ST
City HAYWARD
State CA
ZIP 94544
Phone 510 583-1255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director QI CHE

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