29D2029004 CLIA NUMBER - LIBERTY DIALYSIS-SPARKS LLC

Laboratory Demographics

  • CLIA Code: 29D2029004
  • Facility Name: LIBERTY DIALYSIS-SPARKS LLC
  • Facility Address: 5915 SOUTH LOS ALTOS PARKWAY
    SPARKS, NV
    ZIP 89436
  • Facility Phone: 775 200-0108
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RIDHMI RAJAPAKSE
  • NPI Number: 1104094036
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 29D2029004
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS-SPARKS LLC
Street 5915 SOUTH LOS ALTOS PARKWAY
City SPARKS
State NV
ZIP 89436
Phone 775 200-0108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RIDHMI RAJAPAKSE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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