05D1058515 CLIA NUMBER - TEMPLETON DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1058515
  • Facility Name: TEMPLETON DIALYSIS
  • Facility Address: 1310 LAS TABLAS ROAD STE 101
    TEMPLETON, CA
    ZIP 93465
  • Facility Phone: 805 434-3473
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL DIBIASE
  • NPI Number: 1326357773
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1058515
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TEMPLETON DIALYSIS
Street 1310 LAS TABLAS ROAD STE 101
City TEMPLETON
State CA
ZIP 93465
Phone 805 434-3473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL DIBIASE

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