05D2155347 CLIA NUMBER - HIDDEN VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2155347
  • Facility Name: HIDDEN VALLEY DIALYSIS
  • Facility Address: 1951 CITRACADO PKWY
    ESCONDIDO, CA
    ZIP 92029
  • Facility Phone: 760 746-0464
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA GREENSTEIN MD
  • NPI Number: 1215443411
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2155347
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HIDDEN VALLEY DIALYSIS
Street 1951 CITRACADO PKWY
City ESCONDIDO
State CA
ZIP 92029
Phone 760 746-0464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOSHUA GREENSTEIN MD

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