05D2091590 CLIA NUMBER - SATELLITE HEALTHCARE CERES

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Laboratory Demographics

CLIA Number: 05D2091590

Facility Name: SATELLITE HEALTHCARE CERES

Facility Address:
1372 MITCHELL RD
MODESTO, CA
ZIP 95351
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Facility Phone Number: (209) 300-8700

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1003213026

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2091590
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	SATELLITE HEALTHCARE CERES
Street	1372 MITCHELL RD
City	MODESTO
State	CA
ZIP	95351
Phone	(209) 300-8700

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