05D1082217 CLIA NUMBER - JOY OF DIXON DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 05D1082217

Facility Name: JOY OF DIXON DIALYSIS CENTER

Facility Address:
1640 N LINCOLN STREET
DIXON, CA
ZIP 95620
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Facility Phone Number: 707 693-8301

Facility Type: Blood Bank

Certificate Type: Waiver

NPI Number: 1720269996

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1082217
LAB Type	Blood Bank
Facility Name	JOY OF DIXON DIALYSIS CENTER
Street	1640 N LINCOLN STREET
City	DIXON
State	CA
ZIP	95620
Phone	707 693-8301
CertificateType	4
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	Waiver

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