CLIA lab

CLIA 05D0873509: Vallejo Dialysis

Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0873509 belongs to Vallejo Dialysis in Vallejo, CA.

Certificate of Waiver, effective July 23, 2025, expires July 22, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 23, 2025
Certificate expiration
July 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 1993
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0873509
Lab name
Vallejo Dialysis
Address
830 Redwood St, Vallejo, CA 94590
Phone
(707) 642-2016
Fax
(707) 642-2023

Annual test volume the lab reported

Waived tests
33,384

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Vallejo, CA

Related

Questions

What is the CLIA number for Vallejo Dialysis in Vallejo?

05D0873509, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vallejo Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0873509 expire?

The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.

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