05D1070786 CLIA NUMBER - ALMOND-WOOD DIALYSIS

Laboratory Demographics

CLIA Number: 05D1070786

Facility Name: ALMOND-WOOD DIALYSIS

Facility Address:
501 E ALMOND AVE
MADERA, CA
ZIP 93637
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Facility Phone Number: 559 664-9252

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1134170830

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1070786
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ALMOND-WOOD DIALYSIS
Street	501 E ALMOND AVE
City	MADERA
State	CA
ZIP	93637
Phone	559 664-9252
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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