05D1035052 CLIA NUMBER - NEPHROLOGY ASSOCIATES MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 05D1035052
  • Facility Name: NEPHROLOGY ASSOCIATES MEDICAL OFFICE
  • Facility Address: 2301 CIRCADIAN WAY SUITE A
    SANTA ROSA, CA
    ZIP 95407
  • Facility Phone: 707 526-2027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN A. FRITZ MD
  • NPI Number: 1063462950
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1035052
LAB Type Physician Office
Facility Name NEPHROLOGY ASSOCIATES MEDICAL OFFICE
Street 2301 CIRCADIAN WAY SUITE A
City SANTA ROSA
State CA
ZIP 95407
Phone 707 526-2027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director BENJAMIN A. FRITZ MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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