05D2190158 CLIA NUMBER - CASTRO VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2190158
  • Facility Name: CASTRO VALLEY DIALYSIS
  • Facility Address: 20359 LAKE CHABOT ROAD
    CASTRO VALLEY, CA
    ZIP 94546
  • Facility Phone: 510 582-1195
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AGGARWAL ARCHANA
  • NPI Number: 1972149466
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2190158
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CASTRO VALLEY DIALYSIS
Street 20359 LAKE CHABOT ROAD
City CASTRO VALLEY
State CA
ZIP 94546
Phone 510 582-1195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AGGARWAL ARCHANA

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