05D2153549 CLIA NUMBER - EASTRIDGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2153549
  • Facility Name: EASTRIDGE DIALYSIS
  • Facility Address: 3501 E CAPITOL EXPRESSWAY
    SAN JOSE, CA
    ZIP 95122
  • Facility Phone: 408 239-0466
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RASHID ELAHI
  • NPI Number: 1427572908
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153549
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EASTRIDGE DIALYSIS
Street 3501 E CAPITOL EXPRESSWAY
City SAN JOSE
State CA
ZIP 95122
Phone 408 239-0466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RASHID ELAHI

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