05D0965022 CLIA NUMBER - OAKDALE KIDNEY CENTER, LLC DBA: U.S. RENAL CARE OAKDALE DIALYSIS

Laboratory Demographics

CLIA Number: 05D0965022

Facility Name: OAKDALE KIDNEY CENTER, LLC DBA: U.S. RENAL CARE OAKDALE DIALYSIS

Facility Address:
1405 W F STREET
OAKDALE, CA
ZIP 95361
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Facility Phone Number: 209 848-5780

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1265403976

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0965022
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OAKDALE KIDNEY CENTER, LLC DBA: U.S. RENAL CARE OAKDALE DIALYSIS
Street	1405 W F STREET
City	OAKDALE
State	CA
ZIP	95361
Phone	209 848-5780
CertificateType	4
CertificateEffectiveDate	9/8/2023
CertificateExpirationDate	9/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024