05D2150076 CLIA NUMBER - CAPITAL NEPHROLOGY ACCESS CTR LLC

Laboratory Demographics

  • CLIA Code: 05D2150076
  • Facility Name: CAPITAL NEPHROLOGY ACCESS CTR LLC
  • Facility Address: 1111 EXPOSITION BLVD STE 300
    SACRAMENTO, CA
    ZIP 95815
  • Facility Phone: 916 564-6232
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NAVEEN K. ATRAY
  • NPI Number: 1275060303
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2150076
LAB Type Ambulatory Surgery Center
Facility Name CAPITAL NEPHROLOGY ACCESS CTR LLC
Street 1111 EXPOSITION BLVD STE 300
City SACRAMENTO
State CA
ZIP 95815
Phone 916 564-6232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Ambulatory Surgery Center
Lab Director NAVEEN K. ATRAY

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