Table # Values
licensed_healthcare_facility_listing 8 period: 2016-12-31
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2017-12-31
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2018-12-31
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2019-12-31
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2017-06-30
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2018-06-30
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2019-06-30
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11TH ST
dba_city: LAKEPORT
dba_zip_code: 95453
county_code: 17
county_name: LAKE
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000

period: 2020-06-30
oshpd_id: 306172293
facility_name: LAKEPORT DIALYSIS CENTER
license_num: 110000436
facility_level_desc: Parent Facility
dba_address1: 804 11th St
dba_city: Lakeport
dba_zip_code: 95453
county_code: 17
county_name: Lake
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1984-09-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 39.04904000
longitude: -122.92172000