05D1099284 CLIA NUMBER - CARQUINEZ DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1099284
  • Facility Name: CARQUINEZ DIALYSIS
  • Facility Address: 125 CORPORATE PLACE, SUITE C
    VALLEJO, CA
    ZIP 94590
  • Facility Phone: 707 556-3637
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MONTE WU
  • NPI Number: 1053548362
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1099284
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARQUINEZ DIALYSIS
Street 125 CORPORATE PLACE, SUITE C
City VALLEJO
State CA
ZIP 94590
Phone 707 556-3637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MONTE WU

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