05D2163763 CLIA NUMBER - SAN BRUNO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2163763
  • Facility Name: SAN BRUNO DIALYSIS
  • Facility Address: 841 SAN BRUNO AVENUE W
    SAN BRUNO, CA
    ZIP 94066
  • Facility Phone: 650 794-1138
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALBERT KAO
  • NPI Number: 1548749989
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2163763
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN BRUNO DIALYSIS
Street 841 SAN BRUNO AVENUE W
City SAN BRUNO
State CA
ZIP 94066
Phone 650 794-1138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALBERT KAO

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