05D0587928 CLIA NUMBER - ANTELOPE VALLEY NEPHROLOGY

Laboratory Demographics

CLIA Number: 05D0587928

Facility Name: ANTELOPE VALLEY NEPHROLOGY

Facility Address:
1759 W AVE J, STE 101
LANCASTER, CA
ZIP 93534
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Facility Phone Number: (661) 948-1388

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1336172949

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0587928
LAB Type	PHYSICIAN OFFICE
Facility Name	ANTELOPE VALLEY NEPHROLOGY
Street	1759 W AVE J, STE 101
City	LANCASTER
State	CA
ZIP	93534
Phone	(661) 948-1388

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