05D2099374 CLIA NUMBER - JURUPA VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2099374
  • Facility Name: JURUPA VALLEY DIALYSIS
  • Facility Address: 8080 LIMONITE AVE
    JURUPA VALLEY, CA
    ZIP 92509
  • Facility Phone: 951 361-9405
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN A. ROBERTSON MD
  • NPI Number: 1881085900
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2099374
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JURUPA VALLEY DIALYSIS
Street 8080 LIMONITE AVE
City JURUPA VALLEY
State CA
ZIP 92509
Phone 951 361-9405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN A. ROBERTSON MD

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