05D0952866 CLIA NUMBER - ANTIOCH DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0952866
  • Facility Name: ANTIOCH DIALYSIS CENTER
  • Facility Address: 3100 DELTA FAIR BLVD
    ANTIOCH, CA
    ZIP 94509
  • Facility Phone: 925 753-5000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYLVIA CHI
  • NPI Number: 1306805296
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0952866
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANTIOCH DIALYSIS CENTER
Street 3100 DELTA FAIR BLVD
City ANTIOCH
State CA
ZIP 94509
Phone 925 753-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYLVIA CHI

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