05D2000270 CLIA NUMBER - DIAMOND VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2000270
  • Facility Name: DIAMOND VALLEY DIALYSIS
  • Facility Address: 1181 N STATE ST
    SAN JACINTO, CA
    ZIP 92583
  • Facility Phone: 951 487-6528
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASHOK NATH
  • NPI Number: 1578524815
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2000270
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIAMOND VALLEY DIALYSIS
Street 1181 N STATE ST
City SAN JACINTO
State CA
ZIP 92583
Phone 951 487-6528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASHOK NATH

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