05D2074542 CLIA NUMBER - FAIRFIELD DOWNTOWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2074542
  • Facility Name: FAIRFIELD DOWNTOWN DIALYSIS
  • Facility Address: 1800 N TEXAS ST
    FAIRFIELD, CA
    ZIP 94533
  • Facility Phone: 707 399-9984
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN R. TOLKAN
  • NPI Number: 1790106300
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2074542
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FAIRFIELD DOWNTOWN DIALYSIS
Street 1800 N TEXAS ST
City FAIRFIELD
State CA
ZIP 94533
Phone 707 399-9984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEPHEN R. TOLKAN

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This page was last updated on: 9/29/2025