05D2025963 CLIA NUMBER - CATHEDRAL CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2025963
  • Facility Name: CATHEDRAL CITY DIALYSIS
  • Facility Address: 30885 DATE PALM DR
    CATHEDRAL CITY, CA
    ZIP 92234
  • Facility Phone: 760 321-5261
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRYAN STONE
  • NPI Number: 1942718853
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2025963
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CATHEDRAL CITY DIALYSIS
Street 30885 DATE PALM DR
City CATHEDRAL CITY
State CA
ZIP 92234
Phone 760 321-5261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRYAN STONE

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