My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_LEAD
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
K
>
KETTLEMAN
>
1610
>
4500 - Medical Waste Program
>
PR0526718
>
COMPLIANCE INFO_LEAD
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/8/2025 11:11:27 AM
Creation date
7/3/2020 10:21:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526718
PE
4530 - LG QUANITY GENERATOR
FACILITY_ID
FA0018090
FACILITY_NAME
LODI DIALYSIS CENTER
STREET_NUMBER
1610
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242-3731
APN
05826040
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0526718_1610 W KETTLEMAN_.tif
Site Address
1610 D W KETTLEMAN LN LODI 95242-3731
Suite #
D
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
91
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Lodi Dialysis <br />1610 West Ketllernan Lane, Suite D <br />Lodi, CA 95242 <br />Phone: 20&3349888 <br />Fax: 209-333-0888 <br />DaVita.com <br />Davita Dialysis Facility Information <br />Date of communication: August 12, 2021 <br />Facility name /number: Lodi Dialysis / 00277 <br />Medicare provider number: 05-2753 <br />Facility address: 1610 West Kettleman Lane, Suite D, Lodi, CA 95242 <br />Facility phone: 209-334-9888 <br />Facility fax: 209-333-0888 <br />Facility Administrator name: Jon Souza <br />Email address: jon.souza@davita.com <br />Facility emergency contact name: Jon Souza <br />Facility emergency contact number: 530-320-7177 <br />Number of treatment stations: 21 <br />Number of isolation stations: 1 <br />Number of patients: <br />In -center 89 <br />Home hemodialysis 0 <br />Peritoneal 0 <br />Comments /special instructions: This patient population requires dialysis treatment three times <br />per week. <br />
The URL can be used to link to this page
Your browser does not support the video tag.