05D2049364 CLIA NUMBER - SILICON VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2049364
  • Facility Name: SILICON VALLEY DIALYSIS
  • Facility Address: 725 RIDDER PARK DR
    SAN JOSE, CA
    ZIP 95131
  • Facility Phone: 408 392-0390
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAMI MAZBAR
  • NPI Number: 1104187202
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2049364
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SILICON VALLEY DIALYSIS
Street 725 RIDDER PARK DR
City SAN JOSE
State CA
ZIP 95131
Phone 408 392-0390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAMI MAZBAR

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This page was last updated on: 6/4/2025