05D1071508 CLIA NUMBER - CERES DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1071508
  • Facility Name: CERES DIALYSIS CENTER
  • Facility Address: 1768 MITCHELL RD, STE 308
    CERES, CA
    ZIP 95307
  • Facility Phone: 209 538-9853
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUBRAHMANYAM NASIKA
  • NPI Number: 1801923164
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1071508
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CERES DIALYSIS CENTER
Street 1768 MITCHELL RD, STE 308
City CERES
State CA
ZIP 95307
Phone 209 538-9853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SUBRAHMANYAM NASIKA

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