05D2295333 CLIA NUMBER - RANCHO DIALYSIS CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2295333
  • Facility Name: RANCHO DIALYSIS CENTER INC
  • Facility Address: 7777 MILLIKEN AVENUE SUITE 110
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 542-2900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABID A. RIZVI
  • NPI Number: 1568172484
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295333
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RANCHO DIALYSIS CENTER INC
Street 7777 MILLIKEN AVENUE SUITE 110
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 542-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABID A. RIZVI

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