05D2153691 CLIA NUMBER - INDIO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2153691
  • Facility Name: INDIO DIALYSIS
  • Facility Address: 82900 AVENUE 42 SUITE E
    INDIO, CA
    ZIP 92203
  • Facility Phone: 760 342-6842
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH SANCHEZ
  • NPI Number: 1710439187
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153691
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INDIO DIALYSIS
Street 82900 AVENUE 42 SUITE E
City INDIO
State CA
ZIP 92203
Phone 760 342-6842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOSEPH SANCHEZ

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