05D2182096 CLIA NUMBER - US RENAL CARE VICTORVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2182096
  • Facility Name: US RENAL CARE VICTORVILLE DIALYSIS
  • Facility Address: 17125 SILICA DRIVE SUITE 100
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 760 904-3570
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUNIL H. PATEL
  • NPI Number: 1073960845
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2182096
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE VICTORVILLE DIALYSIS
Street 17125 SILICA DRIVE SUITE 100
City VICTORVILLE
State CA
ZIP 92395
Phone 760 904-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUNIL H. PATEL

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This page was last updated on: 3/20/2025