Dialysis centers are generally treated as high-hazard (health hazard) premises for cross-connection control because they use complex water treatment/distribution systems and may handle disinfectants, cleaning chemicals, and potential biological contamination pathways.
Because of this, purveyors commonly classify dialysis facilities as health hazard, which in turn requires Reduced Pressure Principle Assembly or Air Gap minimum backflow assemblies under local policy.
As a bonded and insured licensed contractors and certified backflow testing professionals specializing in the installation, testing and repair of commercial backflow prevention assemblies, Backflow Test Pros guarantees top-tier workmanship at the most competitive rates, provides backflow repair coverage and includes 2-year installation warranty to help you meet and exceed your Dialysis Center backflow installation, testing, repair compliance requirements.
Call for Your Free Dialysis Center Compliance Review to Qualify for
Installation Warranty, Best Value Testing, Repair Coverage & Multi-Device Discounts
Installing, testing and repair of backflow preventer devices in Dialysis Centers is a critical component of California’s commitment to water quality protection from commercial properties connected to a public potable water system.
Property owners and Dialysis Center operators are responsible for installation, testing, repair, and ongoing compliance.
Because of this, purveyors commonly classify dialysis facilities as health hazard, which typically drives Reduced Pressure Principle Assembly or Air Gap minimums under local policy. In fact, most California water purveyors require premises containment at the potable service connection for dialysis facilities, and may also require point-of-use protection for specific equipment connections.
Hiring a certified backflow tester to perform Dialysis Center backflow prevention installation, testing and repair in a timely manner is key to ensuring compliance with state and municipal water department regulations.
Backflow Test Pros is 100% dedicated to ensuring your property meets local water authority Dialysis Center backflow installation, testing and repair requirements so you can avoid civil penalties and ensure your water is not turned off for noncompliance.
Ensure you're fully compliant with specific city, county and water districts backflow prevention requirements
Ensure your backflow assembly installation clears local permitting requirements and plans approvals
Ensure your installed backflow device is USC FCCCHR approved and meets hazard level requirements
Free initial backflow certification testing, same-day report submittal and backflow repair coverage
We provide the best value in Dialysis Center backflow prevention installations, testing and repair services by combining competitive pricing with premium service, warranty coverage and unmatched expertise.
Backflow Test Pros is an AWWA Certified Backflow Tester and Certified Backflow Tester with County Health Departments across Southern California. As a CA State licensed contractor and AWWA Certified backflow specialists, our team of experienced backflow experts work with County Health Boards and Municipal Water Departments throughout Southern California to protect our water and prevent backflow contamination.
The installation, inspection and testing of Dialysis Center backflow preventer devices are essential for ensuring the safety of drinking water from contamination by moderate to high hazard site features at Dialysis Centers.
In California, Dialysis Center backflow preventer assembly installation, testing and repair is governed by a combination of state regulations and local ordinances, aiming to protect the public water supply from contamination.
Understanding the types of Dialysis Center backflow installation, testing, and maintenance requirements helps you avoid civil liabilities and ensures water safety compliance.
Backflow Risk at Dialysis Centers that Trigger a High-Hazard Level of Protection:
- Water treatment trains (softeners, carbon tanks, RO/DI), storage tanks, and distribution loops
- Chemical cleaning/sanitization processes (e.g., disinfectants, acids/bases, regeneration brine)
- Pressurized distribution pumping and multiple zones/branches
- Hose connections and utility sinks used near chemical handling areas
- Frequent equipment changes and service work that can unintentionally create cross-connections
Because these hazards are often present, water agencies commonly require require premises containment at the potable service connection for dialysis facilities and typically require point-of-use protection for specific equipment connections as well.
Additional Dialysis Center Internal (Point-of-Use) Backflow Prevention Requirements
Even when premises containment is installed, dialysis centers typically also need strong internal controls to prevent cross-connections and backflow within building plumbing and treatment equipment.
Common internal expectations:
- No direct cross-connections between potable water and treated/product water systems unless properly protected
- Air gaps on indirect waste/drain connections from treatment equipment and tanks where required by plumbing code / manufacturer requirements (often essential in practice)
- Hose bibb vacuum breakers / anti-siphon hose bibbs on hose connections in janitorial/utility areas and treatment rooms
- Dedicated, labeled piping (especially if any nonpotable/reuse water exists on site)
Dialysis Center Backflow Violation Enforcement & Penalties
Because Dialysis Centers are usually considered high hazard, agencies tend to enforce compliance aggressively.
Most water purveyors have authority to:
- issue notices of violation
- levy fees for late testing or administrative enforcement
- require immediate hazard correction
- terminate water service for failure to install/test/maintain required assemblies
- require onsite inspection and cross-connection surveys (especially after noncompliance)
It is worth noting that High-Hazard healthcare sites often receive shorter cure windows.
Additional Civil Liabilities
Property owners and Dialysis Center operators are exposed to additional civil liabilities resulting from contamination in the event of failure to prevent backflow into the potable water resources used by other parties.

Because dialysis centers typically have many High-Risk backflow containment conditions it is important that you perform an extensive cross connection and backflow prevention compliance review to avoid penalties, water disruptions and civil liabilities.
Dialysis Center-Specific Best Practices for Backflow and Cross-Connection Compliance
Water system QA/QC: Dialysis centers are expected to follow current AAMI standards for treated water system performance, monitoring, and sanitation.
Facility water risk evaluation: CDC recommends evaluating facility water systems for risk of backsiphonage/cross-connections as part of healthcare water management.
Water Departments and County Health Boards and Facility Compliance Teams closely scrutinize hose connections, chemical mix areas, drain/air-gap practices, and any points where treated water could be pushed/pulled backward into potable lines. It is of great importance that your dialysis centers closely monitor these and other high-hazard connection points to ensure water safety and liability mitigation before repair and replacement events occur.
Call Us for Your Free Dialysis Center Backflow Compliance Review to Ensure
You are Not in Violation State or Local Backflow Prevention Requirements
1. Confirm hazard classification with the water purveyor (dialysis is typically health hazard).
2. Install required premises containment (usually RP) at each potable service connection.
3. Confirm fire line backflow requirement (DCDA vs RPDA/RP).
4. Ensure all hose connections have appropriate vacuum breaker protection.
5. Ensure equipment waste/drain connections meet air-gap/indirect waste expectations.
6. Test all assemblies annually, and after install/repair/relocation.
7. Submit test reports on time and retain internal compliance records.
8. Repair failed assemblies immediately; retest and document.