05D1070381 CLIA NUMBER - SIMI DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D1070381
  • Facility Name: SIMI DIALYSIS CENTER LLC
  • Facility Address: 1407 E LOS ANGELES AVE STE G
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 306-0578
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SOHAN L. DUA
  • NPI Number: 1205030467
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1070381
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SIMI DIALYSIS CENTER LLC
Street 1407 E LOS ANGELES AVE STE G
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 306-0578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SOHAN L. DUA

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