05D2207124 CLIA NUMBER - AMERICAN RIVER DIALYSIS

Home > CLIA Lookup > 05D2207124

Laboratory Demographics

CLIA Number: 05D2207124

Facility Name: AMERICAN RIVER DIALYSIS

Facility Address:
5238 MANZANITA AVENUE
CARMICHAEL, CA
ZIP 95608
Get Directions

Facility Phone Number: 279 972-9781

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1063010734

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2207124
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	AMERICAN RIVER DIALYSIS
Street	5238 MANZANITA AVENUE
City	CARMICHAEL
State	CA
ZIP	95608
Phone	279 972-9781
CertificateType	4
CertificateEffectiveDate	12/23/2022
CertificateExpirationDate	12/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024