05D2122019 CLIA NUMBER - PALMS VALLEY DIALYSIS

Home > CLIA Lookup > 05D2122019

Laboratory Demographics

CLIA Number: 05D2122019

Facility Name: PALMS VALLEY DIALYSIS

Facility Address:
38454 5TH ST W
PALMDALE, CA
ZIP 93551
Get Directions

Facility Phone Number: 661 328-0157

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1528421724

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2122019
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	PALMS VALLEY DIALYSIS
Street	38454 5TH ST W
City	PALMDALE
State	CA
ZIP	93551
Phone	661 328-0157
CertificateType	4
CertificateEffectiveDate	11/17/2022
CertificateExpirationDate	11/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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