CLIA lab
CLIA 05D1064045: Fountain Valley Dialysis
Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1064045 belongs to Fountain Valley Dialysis in Fountain Valley, CA.
Certificate of Waiver, effective December 15, 2024, expires December 14, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 15, 2024
- Certificate expiration
- December 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2007
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1064045
- Lab name
- Fountain Valley Dialysis
- Address
- 17150 Euclid St Suite 111, Fountain Valley, CA 92708
- Phone
- (714) 996-1595
- Fax
- (714) 966-1555
Annual test volume the lab reported
- Waived tests
- 32,136
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Fountain Valley DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Fountain Valley, CA
- Acacia HH&P of Southern California, LLCCertificate of Waiver, Home health agency05D2121243
- Acacia Hospice and Palliative ServicesCertificate of Waiver, Hospice05D2104659
- Ahmed Alsadek, M.D., IncCertificate of Waiver, Physician office05D2305500
- Ajit S Sawhney, MDCertificate of Waiver, Physician office05D2120988
- Alliance Hospice & Palliative Care IncCertificate of Waiver, Hospice05D2127225
- Ark Clinical Research, LLCCertificate of Waiver, Physician office05D2230389
- Asana Recovery - MagnoliaCertificate of Waiver, Other05D2260331
- Best Golden Care Hospice IncCertificate of Waiver, Hospice05D2059165
- Bio Path Medical Group IncCertificate of Compliance, Independent05D0914742
- Bio-Path Medical Group IncCertificate of Compliance, Independent05D0974660
Related
- CLIA labs in Fountain Valley, CA104 active
- CLIA labs in California
- DaVita Fountain Valley Dialysis: CMS ratings
- Nursing Homes in Fountain Valley, CA
- Home Health Agencies in Fountain Valley, CA
- Hospices in Fountain Valley, CA
- Dialysis Centers in Fountain Valley, CA
- Hospitals in Fountain Valley, CA
- NPI records in Fountain Valley, CA
- CLIA lookup
Questions
What is the CLIA number for Fountain Valley Dialysis in Fountain Valley?
05D1064045, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fountain Valley Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1064045 expire?
The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.