05D1064045 CLIA NUMBER - FOUNTAIN VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1064045
  • Facility Name: FOUNTAIN VALLEY DIALYSIS
  • Facility Address: 17150 EUCLID ST SUITE 111
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 996-1595
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HARMANJIT SINGH
  • NPI Number: 1831256064
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D1064045
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOUNTAIN VALLEY DIALYSIS
Street 17150 EUCLID ST SUITE 111
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 996-1595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HARMANJIT SINGH

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