05D1107150 CLIA NUMBER - WALNUT CREEK AT HOME

Laboratory Demographics

  • CLIA Code: 05D1107150
  • Facility Name: WALNUT CREEK AT HOME
  • Facility Address: 400 N WIGET LN
    WALNUT CREEK, CA
    ZIP 94598
  • Facility Phone: 925 979-9732
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. CAROL LEE
  • NPI Number: 1891969416
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1107150
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WALNUT CREEK AT HOME
Street 400 N WIGET LN
City WALNUT CREEK
State CA
ZIP 94598
Phone 925 979-9732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. CAROL LEE

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