05D2059080 CLIA NUMBER - Satellite Dialysis

Laboratory Demographics

CLIA Number: 05D2059080

Facility Name: Satellite Dialysis

Facility Address:
646 North Market Blvd.,
Sacramento, CA
ZIP 95834
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Facility Phone Number: (650) 404-3600

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1790051761

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2059080
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name Satellite Dialysis
Street 646 North Market Blvd.,
City Sacramento
State CA
ZIP 95834
Phone 6504043600

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