05D2057121 CLIA NUMBER - Santa Clara Dialysis

Laboratory Demographics

CLIA Number: 05D2057121

Facility Name: Santa Clara Dialysis

Facility Address:
777 Lawrence Expwy Ste 18,
Santa Clara, CA
ZIP 95051
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Facility Phone Number: (408) 243-1130

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1073858361

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2057121
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Santa Clara Dialysis
Street 777 Lawrence Expwy Ste 18,
City Santa Clara
State CA
ZIP 95051
Phone 4082431130

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This page was last updated on: 5/19/2019