05D2096582 CLIA NUMBER - KERMAN DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2096582
  • Facility Name: KERMAN DIALYSIS CENTER, LLC
  • Facility Address: 14945 W WHITESBRIDGE AVE
    KERMAN, CA
    ZIP 93630
  • Facility Phone: 559 846-0023
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GREGORY S. MARTINEZ
  • NPI Number: 1467847202
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2096582
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KERMAN DIALYSIS CENTER, LLC
Street 14945 W WHITESBRIDGE AVE
City KERMAN
State CA
ZIP 93630
Phone 559 846-0023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GREGORY S. MARTINEZ

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