05D2059080 CLIA NUMBER - SATELLITE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2059080
  • Facility Name: SATELLITE DIALYSIS
  • Facility Address: 646 NORTH MARKET BLVD.
    SACRAMENTO, CA
    ZIP 95834
  • Facility Phone: 650 404-3600
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY R. STEWART, MD
  • NPI Number: 1114012903
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2059080
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SATELLITE DIALYSIS
Street 646 NORTH MARKET BLVD.
City SACRAMENTO
State CA
ZIP 95834
Phone 650 404-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEFFREY R. STEWART, MD

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This page was last updated on: 6/4/2025