05D1102496 CLIA NUMBER - SAN LEANDRO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1102496
  • Facility Name: SAN LEANDRO DIALYSIS
  • Facility Address: 15555 EAST 14TH STREET, SUITE 520
    SAN LEANDRO, CA
    ZIP 94578
  • Facility Phone: 510 317-6510
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANNE YU
  • NPI Number: 1659513323
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1102496
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN LEANDRO DIALYSIS
Street 15555 EAST 14TH STREET, SUITE 520
City SAN LEANDRO
State CA
ZIP 94578
Phone 510 317-6510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANNE YU

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