05D1059197 CLIA NUMBER - NATOMAS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1059197
  • Facility Name: NATOMAS DIALYSIS
  • Facility Address: 30 GOLDENLAND COURT, BLDG G
    SACRAMENTO, CA
    ZIP 95834
  • Facility Phone: 916 285-6452
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GANESH KAMBHAMPATI
  • NPI Number: 1154348068
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1059197
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NATOMAS DIALYSIS
Street 30 GOLDENLAND COURT, BLDG G
City SACRAMENTO
State CA
ZIP 95834
Phone 916 285-6452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GANESH KAMBHAMPATI

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