05D2122025 CLIA NUMBER - DELANO KIDNEY CENTER LLC

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Laboratory Demographics

CLIA Number: 05D2122025

Facility Name: DELANO KIDNEY CENTER LLC

Facility Address:
1980 CECIL AVE
DELANO, CA
ZIP 93215
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Facility Phone Number: 661 721-2830

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1700230430

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/17/2022
CertificateExpirationDate	11/16/2024
FacilityType	Waiver

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