CLIA lab
CLIA 05D2080921: Innovative Dialysis of Patterson, LLC
Patterson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2080921 belongs to Innovative Dialysis of Patterson, LLC in Patterson, CA.
Certificate of Waiver, effective July 16, 2026, expires July 15, 2028.
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 16, 2026
- Certificate expiration
- July 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2014
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2080921
- Lab name
- Innovative Dialysis of Patterson, LLC
- Additional name
- DBA U S Renal Care Patterson Dialysis
- Address
- 1700 Keystone Pacific Pkwy Ste A-1, Patterson, CA 95363
- Phone
- (209) 690-3768
- Fax
- (209) 892-7763
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- USRC Patterson DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Patterson, CA
- A Wahid MD Inc DBA Apricot Valley Urgent CareCertificate of Waiver, Physician office05D2066256
- Del Puerto Health CenterCertificate of Waiver, Rural health clinic05D1016529
- Kohls Wellness CenterCertificate of Waiver, Physician office05D2058348
- Modesto Kidney Medical GroupCertificate of Waiver, Physician office05D2113709
- Patterson Family PharmacyCertificate of Waiver, Pharmacy05D2186626
- Patterson Urgent Care and Work Wellness CenterCertificate of Waiver, Physician office05D2081528
- Wahid Medical CorporationCertificate of Waiver, Physician office05D2039449
- Walgreens #09955Certificate of Waiver, Pharmacy05D2220418
- Walmart Pharmacy #10-5843Certificate of Waiver, Pharmacy05D2339888
Related
Questions
What is the CLIA number for Innovative Dialysis of Patterson, LLC in Patterson?
05D2080921, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Innovative Dialysis of Patterson, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2080921 expire?
The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.