05D2027316 CLIA NUMBER - SAN MATEO MILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2027316
  • Facility Name: SAN MATEO MILLS DIALYSIS
  • Facility Address: 159 SECOND AVE
    SAN MATEO, CA
    ZIP 94401
  • Facility Phone: 650 715-5001
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RASHMI JAIN
  • NPI Number: 1902196355
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2027316
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN MATEO MILLS DIALYSIS
Street 159 SECOND AVE
City SAN MATEO
State CA
ZIP 94401
Phone 650 715-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RASHMI JAIN

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