05D2091735 CLIA NUMBER - LAUREL CANYON DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 05D2091735
  • Facility Name: LAUREL CANYON DIALYSIS LLC
  • Facility Address: 8987 LAUREL CANYON BLVD ATTN RICHARD D
    SUN VALLEY, CA
    ZIP 91352
  • Facility Phone: 818 771-9950
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PARAG SHAH
  • NPI Number: 1215342175
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2091735
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAUREL CANYON DIALYSIS LLC
Street 8987 LAUREL CANYON BLVD ATTN RICHARD D
City SUN VALLEY
State CA
ZIP 91352
Phone 818 771-9950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PARAG SHAH

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