05D1005658 CLIA NUMBER - CARMEL MOUNTAIN DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1005658
  • Facility Name: CARMEL MOUNTAIN DIALYSIS
  • Facility Address: 9850 CARMEL MOUNTAIN RD
    SAN DIEGO, CA
    ZIP 92129
  • Facility Phone: 858 538-1083
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMED NEYAZ
  • NPI Number: 1669788980
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1005658
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARMEL MOUNTAIN DIALYSIS
Street 9850 CARMEL MOUNTAIN RD
City SAN DIEGO
State CA
ZIP 92129
Phone 858 538-1083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMED NEYAZ

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