05D0587935 CLIA NUMBER - ANTELOPE VALLEY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0587935
  • Facility Name: ANTELOPE VALLEY DIALYSIS CENTER
  • Facility Address: 1759 WEST AVENUE J # 102
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 942-6400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUNG YANG
  • NPI Number: 1730285818
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0587935
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANTELOPE VALLEY DIALYSIS CENTER
Street 1759 WEST AVENUE J # 102
City LANCASTER
State CA
ZIP 93534
Phone 661 942-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUNG YANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025