05D2057121 CLIA NUMBER - SANTA CLARA DIALYSIS

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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	(408) 243-1130

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This page was last updated on: 5/11/2023