05D2122025 CLIA NUMBER - DELANO KIDNEY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2122025
  • Facility Name: DELANO KIDNEY CENTER LLC
  • Facility Address: 1980 CECIL AVE
    DELANO, CA
    ZIP 93215
  • Facility Phone: 661 721-2830
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TARIQ MUBIN
  • NPI Number: 1700230430
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2122025
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DELANO KIDNEY CENTER LLC
Street 1980 CECIL AVE
City DELANO
State CA
ZIP 93215
Phone 661 721-2830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TARIQ MUBIN

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