05D1089023 CLIA NUMBER - HESPERIA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1089023
  • Facility Name: HESPERIA DIALYSIS CENTER
  • Facility Address: 14135 MAIN STREET UNIT 501
    HESPERIA, CA
    ZIP 92345
  • Facility Phone: 760 947-7405
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: EDGARD VERA, MD
  • NPI Number: 1952570541
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1089023
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HESPERIA DIALYSIS CENTER
Street 14135 MAIN STREET UNIT 501
City HESPERIA
State CA
ZIP 92345
Phone 760 947-7405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director EDGARD VERA, MD

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