05D2113173 CLIA NUMBER - VISTA DEL SOL DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2113173
  • Facility Name: VISTA DEL SOL DIALYSIS
  • Facility Address: 15002 AMARGOSA RD
    VICTORVILLE, CA
    ZIP 92394
  • Facility Phone: 442 255-4023
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: EDGARD M. VERA TAPIA
  • NPI Number: 1447615869
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2113173
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VISTA DEL SOL DIALYSIS
Street 15002 AMARGOSA RD
City VICTORVILLE
State CA
ZIP 92394
Phone 442 255-4023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director EDGARD M. VERA TAPIA

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