05D1068622 CLIA NUMBER - EXETER DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1068622
  • Facility Name: EXETER DIALYSIS
  • Facility Address: 1116 W VISALIA RD STE 106
    EXETER, CA
    ZIP 93221
  • Facility Phone: 559 592-1025
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SPREEDHAR ADAPA
  • NPI Number: 1285755991
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1068622
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EXETER DIALYSIS
Street 1116 W VISALIA RD STE 106
City EXETER
State CA
ZIP 93221
Phone 559 592-1025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SPREEDHAR ADAPA

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