05D2308634 CLIA NUMBER - SYNERGY DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 05D2308634
  • Facility Name: SYNERGY DIALYSIS LLC
  • Facility Address: 16030 VENTURA BLVD SUITE 110
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 521-4539
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NICOLAS MEHIS
  • NPI Number: 1871375741
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2308634
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SYNERGY DIALYSIS LLC
Street 16030 VENTURA BLVD SUITE 110
City ENCINO
State CA
ZIP 91436
Phone 818 521-4539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NICOLAS MEHIS

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