05D2207124 CLIA NUMBER - AMERICAN RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2207124
  • Facility Name: AMERICAN RIVER DIALYSIS
  • Facility Address: 5238 MANZANITA AVENUE
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 279 972-9781
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAVEEN ATRAY
  • NPI Number: 1063010734
  • Taxonomy: 261QE0700X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAVEEN ATRAY

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