05D1082217 CLIA NUMBER - JOY OF DIXON DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1082217
  • Facility Name: JOY OF DIXON DIALYSIS CENTER
  • Facility Address: 1640 N LINCOLN STREET
    DIXON, CA
    ZIP 95620
  • Facility Phone: 707 693-8301
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: EHSAN SHAHMIR, MD
  • NPI Number: 1720269996
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1082217
LAB Type Blood Bank
Facility Name JOY OF DIXON DIALYSIS CENTER
Street 1640 N LINCOLN STREET
City DIXON
State CA
ZIP 95620
Phone 707 693-8301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Blood Bank
Lab Director EHSAN SHAHMIR, MD

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