05D2075611 CLIA NUMBER - CHANNEL ISLANDS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2075611
  • Facility Name: CHANNEL ISLANDS DIALYSIS
  • Facility Address: 3541 W 1ST ST STE A
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 984-5140
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VIMAL VERMANI
  • NPI Number: 1346674157
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2075611
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHANNEL ISLANDS DIALYSIS
Street 3541 W 1ST ST STE A
City OXNARD
State CA
ZIP 93030
Phone 805 984-5140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VIMAL VERMANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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