05D2171975 CLIA NUMBER - COLLEGE ESTATES DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2171975
  • Facility Name: COLLEGE ESTATES DIALYSIS
  • Facility Address: 1601 RAIDERS WAY
    OXNARD, CA
    ZIP 93033
  • Facility Phone: 530 892-9937
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUSAN CHANG
  • NPI Number: 1922649938
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2171975
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLLEGE ESTATES DIALYSIS
Street 1601 RAIDERS WAY
City OXNARD
State CA
ZIP 93033
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 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUSAN CHANG

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