05D1104944 CLIA NUMBER - WESTLAKE DALY CITY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1104944
  • Facility Name: WESTLAKE DALY CITY DIALYSIS CENTER
  • Facility Address: 2201 JUNIPERO SERRA BLVD, STE 175
    DALY CITY, CA
    ZIP 94014
  • Facility Phone: 650 755-9480
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WARREN CHANG
  • NPI Number: 1972741999
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1104944
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WESTLAKE DALY CITY DIALYSIS CENTER
Street 2201 JUNIPERO SERRA BLVD, STE 175
City DALY CITY
State CA
ZIP 94014
Phone 650 755-9480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WARREN CHANG

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