05D2045768 CLIA NUMBER - MADERA KIDNEY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2045768
  • Facility Name: MADERA KIDNEY CENTER LLC
  • Facility Address: 1560 COUNTRY CLUB DRIVE SUITE 101
    MADERA, CA
    ZIP 93638
  • Facility Phone: 559 673-5259
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHEIKH M. MASOOD, MD
  • NPI Number: 1982960233
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2045768
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MADERA KIDNEY CENTER LLC
Street 1560 COUNTRY CLUB DRIVE SUITE 101
City MADERA
State CA
ZIP 93638
Phone 559 673-5259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHEIKH M. MASOOD, MD

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