05D2059080 CLIA NUMBER - SATELLITE DIALYSIS

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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: 1114012903

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	(650) 404-3600

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