05D2054371 CLIA NUMBER - COALINGA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2054371
  • Facility Name: COALINGA DIALYSIS
  • Facility Address: 1147 PHELPS AVE L&C DEPT
    COALINGA, CA
    ZIP 93210
  • Facility Phone: 559 934-0690
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TOM YANG
  • NPI Number: 1275885766
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2054371
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COALINGA DIALYSIS
Street 1147 PHELPS AVE L&C DEPT
City COALINGA
State CA
ZIP 93210
Phone 559 934-0690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
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