05D2059360 CLIA NUMBER - NORTH MADERA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2059360
  • Facility Name: NORTH MADERA DIALYSIS
  • Facility Address: 720 N I ST
    MADERA, CA
    ZIP 93637
  • Facility Phone: 559 664-8780
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ATWAL SUKHVIR
  • NPI Number: 1649514654
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2059360
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH MADERA DIALYSIS
Street 720 N I ST
City MADERA
State CA
ZIP 93637
Phone 559 664-8780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ATWAL SUKHVIR

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