05D2080062 CLIA NUMBER - SYLMAR DIALYSIS, LLC

Laboratory Demographics

  • CLIA Code: 05D2080062
  • Facility Name: SYLMAR DIALYSIS, LLC
  • Facility Address: 12151 SAN FERNANDO RD
    SYLMAR, CA
    ZIP 91342
  • Facility Phone: 818 465-9464
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VINOD ASSOMULL, MD
  • NPI Number: 1871903385
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2080062
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SYLMAR DIALYSIS, LLC
Street 12151 SAN FERNANDO RD
City SYLMAR
State CA
ZIP 91342
Phone 818 465-9464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VINOD ASSOMULL, MD

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