05D2211752 CLIA NUMBER - COLMA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2211752
  • Facility Name: COLMA DIALYSIS
  • Facility Address: 1055 EL CAMINO REAL
    COLMA, CA
    ZIP 94014
  • Facility Phone: 628 529-1031
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALBERT KAO
  • NPI Number: 1306444765
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2211752
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLMA DIALYSIS
Street 1055 EL CAMINO REAL
City COLMA
State CA
ZIP 94014
Phone 628 529-1031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
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