05D0583381 CLIA NUMBER - CAMARILLO DIALYSIS CTR

Laboratory Demographics

CLIA Number: 05D0583381

Facility Name: CAMARILLO DIALYSIS CTR

Facility Address:
3801 E LAS POSAS RD SUITE 103
CAMARILLO, CA
ZIP 93010
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Facility Phone Number: (805) 388-2449

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1033221932

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0583381
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	CAMARILLO DIALYSIS CTR
Street	3801 E LAS POSAS RD SUITE 103
City	CAMARILLO
State	CA
ZIP	93010
Phone	(805) 388-2449

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This page was last updated on: 5/11/2023