05D2118218 CLIA NUMBER - SERRANO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2118218
  • Facility Name: SERRANO DIALYSIS
  • Facility Address: 1800 MEDICAL CENTER DR STE 150
    SAN BERNARDINO, CA
    ZIP 92411
  • Facility Phone: 909 887-2717
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES TOMAS MD
  • NPI Number: 1831560077
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2118218
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SERRANO DIALYSIS
Street 1800 MEDICAL CENTER DR STE 150
City SAN BERNARDINO
State CA
ZIP 92411
Phone 909 887-2717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES TOMAS MD

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