05D1088958 CLIA NUMBER - CORNERHOUSE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1088958
  • Facility Name: CORNERHOUSE DIALYSIS CENTER
  • Facility Address: 2005 NAGLEE AVENUE
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 998-0183
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARCHANA DHAWAN
  • NPI Number: 1467649111
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1088958
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CORNERHOUSE DIALYSIS CENTER
Street 2005 NAGLEE AVENUE
City SAN JOSE
State CA
ZIP 95128
Phone 408 998-0183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARCHANA DHAWAN

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