05D2077831 CLIA NUMBER - EL SOBRANTE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2077831
  • Facility Name: EL SOBRANTE DIALYSIS
  • Facility Address: 3380 SAN PABLO DAM RD # C-D
    EL SOBRANTE, CA
    ZIP 94803
  • Facility Phone: 510 262-9230
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH CHEN, MD
  • NPI Number: 1124443791
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2077831
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EL SOBRANTE DIALYSIS
Street 3380 SAN PABLO DAM RD # C-D
City EL SOBRANTE
State CA
ZIP 94803
Phone 510 262-9230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KENNETH CHEN, MD

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