05D2057173 CLIA NUMBER - TULLY DIALYSIS

Home > CLIA Lookup > 05D2057173

Laboratory Demographics

CLIA Number: 05D2057173

Facility Name: TULLY DIALYSIS

Facility Address:
614 TULLY RD STE 30
SAN JOSE, CA
ZIP 95122
Get Directions

Facility Phone Number: (408) 993-8959

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1154668184

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2057173
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	TULLY DIALYSIS
Street	614 TULLY RD STE 30
City	SAN JOSE
State	CA
ZIP	95122
Phone	(408) 993-8959

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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