05D2275261 CLIA NUMBER - WYATT DIALYSIS LLC DBA NAPA HOME TRAINING

Laboratory Demographics

  • CLIA Code: 05D2275261
  • Facility Name: WYATT DIALYSIS LLC DBA NAPA HOME TRAINING
  • Facility Address: 3350 CALIFORNIA BLVD, SUITE A
    NAPA, CA
    ZIP 94558
  • Facility Phone: 707 562-4446
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRYAN WONG
  • NPI Number: 1972252187
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2275261
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WYATT DIALYSIS LLC DBA NAPA HOME TRAINING
Street 3350 CALIFORNIA BLVD, SUITE A
City NAPA
State CA
ZIP 94558
Phone 707 562-4446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRYAN WONG

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