05D1104144 CLIA NUMBER - LIVERMORE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1104144
  • Facility Name: LIVERMORE DIALYSIS
  • Facility Address: 3201 DOOLAN RD SUITE 175
    LIVERMORE, CA
    ZIP 94551
  • Facility Phone: 925 245-9780
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEENA MEHANDRU, MD
  • NPI Number: 1700029642
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1104144
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIVERMORE DIALYSIS
Street 3201 DOOLAN RD SUITE 175
City LIVERMORE
State CA
ZIP 94551
Phone 925 245-9780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LEENA MEHANDRU, MD

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