05D2222611 CLIA NUMBER - VISALIA KIDNEY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2222611
  • Facility Name: VISALIA KIDNEY CENTER, LLC
  • Facility Address: 3446 S MOONEY BLVD
    VISALIA, CA
    ZIP 93277
  • Facility Phone: 978 778-6866
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TARIQ JAVED
  • NPI Number: 1346845476
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2222611
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VISALIA KIDNEY CENTER, LLC
Street 3446 S MOONEY BLVD
City VISALIA
State CA
ZIP 93277
Phone 978 778-6866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TARIQ JAVED

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