05D2130256 CLIA NUMBER - VAN NUYS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2130256
  • Facility Name: VAN NUYS DIALYSIS
  • Facility Address: 14434 SHERMAN WAY
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 787-8225
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHEL ZAKARI
  • NPI Number: 1609280767
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2130256
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VAN NUYS DIALYSIS
Street 14434 SHERMAN WAY
City VAN NUYS
State CA
ZIP 91405
Phone 818 787-8225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2023
Certificate Expiration Date 5/3/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHEL ZAKARI

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This page was last updated on: 3/20/2025