05D2085279 CLIA NUMBER - WALNUT CREEK WEST DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2085279
  • Facility Name: WALNUT CREEK WEST DIALYSIS
  • Facility Address: 1221 ROSSMOOR PKWY
    WALNUT CREEK, CA
    ZIP 94595
  • Facility Phone: 925 295-9830
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PARDIS IRANNEJAD
  • NPI Number: 1902212962
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2085279
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WALNUT CREEK WEST DIALYSIS
Street 1221 ROSSMOOR PKWY
City WALNUT CREEK
State CA
ZIP 94595
Phone 925 295-9830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PARDIS IRANNEJAD

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