05D0930590 CLIA NUMBER - ANTELOPE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0930590
  • Facility Name: ANTELOPE DIALYSIS CENTER
  • Facility Address: 6406 TUPELO DR STE A
    CITRUS HEIGHTS, CA
    ZIP 95621
  • Facility Phone: 916 721-1800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROHIT B. KASHYAP
  • NPI Number: 1780836684
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0930590
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANTELOPE DIALYSIS CENTER
Street 6406 TUPELO DR STE A
City CITRUS HEIGHTS
State CA
ZIP 95621
Phone 916 721-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROHIT B. KASHYAP

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: 9/29/2025