CLIA lab
CLIA 05D0928517: Lodi Dialysis Center
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0928517 belongs to Lodi Dialysis Center in Lodi, CA.
Certificate of Waiver, effective May 20, 2025, expires May 19, 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
- May 20, 2025
- Certificate expiration
- May 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 20, 1997
- 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
- 05D0928517
- Lab name
- Lodi Dialysis Center
- Address
- 1610 W Kettleman Lane, Suite D, Lodi, CA 95242
- Phone
- (209) 334-9888
- Fax
- (209) 333-0888
Annual test volume the lab reported
- Waived tests
- 29,328
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Lodi Dialysis CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Lodi, CA
- Adventist Health Lodi MemorialCertificate of Accreditation, Hospital05D0609686
- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1097139
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
Related
Questions
What is the CLIA number for Lodi Dialysis Center in Lodi?
05D0928517, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lodi Dialysis Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0928517 expire?
The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.