05D1006007 CLIA NUMBER - SOLEDAD DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1006007
  • Facility Name: SOLEDAD DIALYSIS CENTER
  • Facility Address: 901 LOS COCHES DRIVE
    SOLEDAD, CA
    ZIP 93960
  • Facility Phone: 831 678-4310
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GOPAL KRISHNA MD
  • NPI Number: 1558324665
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1006007
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOLEDAD DIALYSIS CENTER
Street 901 LOS COCHES DRIVE
City SOLEDAD
State CA
ZIP 93960
Phone 831 678-4310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GOPAL KRISHNA MD

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This page was last updated on: 6/4/2025