05D2157465 CLIA NUMBER - BIDWELL DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2157465
  • Facility Name: BIDWELL DIALYSIS
  • Facility Address: 966 EAST AVENUE
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 892-9937
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JON FERGUSON
  • NPI Number: 1659889632
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2157465
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BIDWELL DIALYSIS
Street 966 EAST AVENUE
City CHICO
State CA
ZIP 95926
Phone 530 892-9937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JON FERGUSON

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