05D2204619 CLIA NUMBER - EVN DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2204619
  • Facility Name: EVN DIALYSIS CENTER LLC
  • Facility Address: 18040 SHERMAN WAY SUITE 100
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 714 423-5411
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KALPESH PATEL MD
  • NPI Number: 1962050757
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2204619
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EVN DIALYSIS CENTER LLC
Street 18040 SHERMAN WAY SUITE 100
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 KALPESH PATEL MD

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