Chronic Dialysis Clinic
Change of Certification Application Packet
A State license is required to operate a Chronic Dialysis Clinic (CDC) in California. A CDC means āa clinic that provides less than 24-hour care for the treatment of patients with end-stage renal disease, including renal dialysis services,ā pursuant to Health and Safety Code (HSC) section 1204(b)(2).
To apply for Medi-Cal and/or Medicare certification to a licensed health facility, you must complete the required application packet.ā
How to Apply
An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The application packet contains the required forms in one location. The provider checklist identifies the required forms and supporting documents needed to apply for licensing and certification. The provider instructions are a resource to guide you through the process.
Please refer to the following links to get started:
Application Packāāet Forms
Where to Submit Applications
Submit completed application packets to the CAB at the address listed below. Do not send any completed application packets, forms, or supporting documents to the local CDPH, District Office.
California Department of Public Health
Licensing and Certification Program
Centralized Applications Branch
P.O. Box 997377, MS 3207
Sacramento, CA 95899-7377ā