05D2069179 CLIA NUMBER - DINUBA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2069179
  • Facility Name: DINUBA DIALYSIS
  • Facility Address: 510 E NORTH WAY
    DINUBA, CA
    ZIP 93618
  • Facility Phone: 559 595-9462
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YASSER BARSOUM, MD
  • NPI Number: 1437592292
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2069179
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DINUBA DIALYSIS
Street 510 E NORTH WAY
City DINUBA
State CA
ZIP 93618
Phone 559 595-9462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YASSER BARSOUM, MD

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