05D2130256 CLIA NUMBER - VAN NUYS DIALYSIS

Laboratory Demographics

CLIA Number: 05D2130256

Facility Name: VAN NUYS DIALYSIS

Facility Address:
14434 SHERMAN WAY
VAN NUYS, CA
ZIP 91405
Get Directions

Facility Phone Number: 818 787-8225

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1609280767

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
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