05D2204617 CLIA NUMBER - SPECTRUM DIALYSIS INC

Laboratory Demographics

  • CLIA Code: 05D2204617
  • Facility Name: SPECTRUM DIALYSIS INC
  • Facility Address: 18040 SHERMAN WAY SUITE 220
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 714 423-5411
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: EYAL SHTORCH
  • NPI Number: 1437789278
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2204617
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPECTRUM DIALYSIS INC
Street 18040 SHERMAN WAY SUITE 220
City RESEDA
State CA
ZIP 91335
Phone 714 423-5411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director EYAL SHTORCH

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