05D2018296 CLIA NUMBER - HAYWARD MISSION HILLS DIALYSIS

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Laboratory Demographics

CLIA Number: 05D2018296

Facility Name: HAYWARD MISSION HILLS DIALYSIS

Facility Address:
1661 INDUSTRIAL PKWY W
HAYWARD, CA
ZIP 94544
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Facility Phone Number: 510 266-5743

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407161920

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2018296
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HAYWARD MISSION HILLS DIALYSIS
Street	1661 INDUSTRIAL PKWY W
City	HAYWARD
State	CA
ZIP	94544
Phone	510 266-5743
CertificateType	4
CertificateEffectiveDate	12/31/2022
CertificateExpirationDate	12/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024