05D2014675 CLIA NUMBER - NORTHRIDGE DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2014675
  • Facility Name: NORTHRIDGE DIALYSIS CENTER LLC
  • Facility Address: 9325 RESEDA BLVD
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 993-6700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VINOD M. ASSOMULL MD
  • NPI Number: 1801128301
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2014675
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHRIDGE DIALYSIS CENTER LLC
Street 9325 RESEDA BLVD
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 993-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VINOD M. ASSOMULL MD

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