05D2027003 CLIA NUMBER - LEMOORE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2027003
  • Facility Name: LEMOORE DIALYSIS
  • Facility Address: 1345 W. BUSH ST.
    LEMOORE, CA
    ZIP 93245
  • Facility Phone: 559 924-3175
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TOM YANG
  • NPI Number: 1639474265
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2027003
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEMOORE DIALYSIS
Street 1345 W. BUSH ST.
City LEMOORE
State CA
ZIP 93245
Phone 559 924-3175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TOM YANG

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