05D0951361 CLIA NUMBER - ORANGEVALE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0951361
  • Facility Name: ORANGEVALE DIALYSIS CENTER
  • Facility Address: 9267 GREENBACK LN, STE A2
    ORANGEVALE, CA
    ZIP 95662
  • Facility Phone: 916 988-5666
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TARANG PATEL
  • NPI Number: 1215990478
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0951361
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ORANGEVALE DIALYSIS CENTER
Street 9267 GREENBACK LN, STE A2
City ORANGEVALE
State CA
ZIP 95662
Phone 916 988-5666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TARANG PATEL

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