CLIA lab
CLIA 05D2122019: Palms Valley Dialysis
Palmdale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2122019 belongs to Palms Valley Dialysis in Palmdale, CA.
Certificate of Waiver, effective November 17, 2024, expires November 16, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 17, 2024
- Certificate expiration
- November 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2016
- 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
- 05D2122019
- Lab name
- Palms Valley Dialysis
- Address
- 38454 5th St W, Palmdale, CA 93551
- Phone
- (661) 328-0157
- Fax
- (661) 225-3869
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Palms Valley DialysisCMS Care Compare ratings for the facility at the same street address
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- Advanced Pain Medical Group IncCertificate of Waiver, Physician office05D2151765
- Alden Home Health, IncCertificate of Waiver, Home health agency05D0922457
- Alden HospiceCertificate of Waiver, Hospice05D2048613
- Amicis Research CenterCertificate of Waiver, Other05D2339053
- Anas Entabi, MDCertificate of Waiver, Physician office05D2023921
- Andrew Teperson MDCertificate of Waiver, Physician office05D1018675
- Antelope Valley Home Health Agency IncCertificate of Waiver, Home health agency05D2297229
Related
Questions
What is the CLIA number for Palms Valley Dialysis in Palmdale?
05D2122019, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Palms Valley Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2122019 expire?
The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.