05D2117768 CLIA NUMBER - WARNER CENTER DIALYSIS

Laboratory Demographics

CLIA Number: 05D2117768

Facility Name: WARNER CENTER DIALYSIS

Facility Address:
21040 CALIFA ST STE A
WOODLAND HILLS, CA
ZIP 91367
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Facility Phone Number: 818 715-9602

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730558750

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2117768
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WARNER CENTER DIALYSIS
Street	21040 CALIFA ST STE A
City	WOODLAND HILLS
State	CA
ZIP	91367
Phone	818 715-9602
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024