05D0946461 CLIA NUMBER - DIALYSIS NEWCO, LLC DBA US RENAL CARE CHULA VISTA BROADWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0946461
  • Facility Name: DIALYSIS NEWCO, LLC DBA US RENAL CARE CHULA VISTA BROADWAY DIALYSIS
  • Facility Address: 1181 BROADWAY, STE 5
    CHULA VISTA, CA
    ZIP 91911
  • Facility Phone: 619 585-0016
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARIA NAVA
  • NPI Number: 1275809840
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0946461
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS NEWCO, LLC DBA US RENAL CARE CHULA VISTA BROADWAY DIALYSIS
Street 1181 BROADWAY, STE 5
City CHULA VISTA
State CA
ZIP 91911
Phone 619 585-0016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARIA NAVA

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