05D0664989 CLIA NUMBER - CONEJO VALLEY RENAL CENTER

Laboratory Demographics

  • CLIA Code: 05D0664989
  • Facility Name: CONEJO VALLEY RENAL CENTER
  • Facility Address: 227 WEST JANSS ROAD STE 115
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 496-6071
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JERRY KAYE
  • NPI Number: 1124130026
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0664989
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CONEJO VALLEY RENAL CENTER
Street 227 WEST JANSS ROAD STE 115
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 496-6071
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 JERRY KAYE

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This page was last updated on: 9/29/2025