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    <link:label id="lab_dva_UnrestrictedSubsidiariesMember_194F1854DE4FEF91132B07CA3B37CF44_documentation_en-US" xlink:label="lab_dva_UnrestrictedSubsidiariesMember_194F1854DE4FEF91132B07CA3B37CF44" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Unrestricted subsidiaries.</link:label>
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    <link:label id="lab_srt_CondensedFinancialStatementsCaptionsLineItems_EAC03C5DBB343DC8534707CA3B3713A0_terseLabel_en-US" xlink:label="lab_srt_CondensedFinancialStatementsCaptionsLineItems_EAC03C5DBB343DC8534707CA3B3713A0" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Condensed Financial Statements, Captions [Line Items]</link:label>
    <link:label id="lab_srt_CondensedFinancialStatementsCaptionsLineItems_EAC03C5DBB343DC8534707CA3B3713A0_label_en-US" xlink:label="lab_srt_CondensedFinancialStatementsCaptionsLineItems_EAC03C5DBB343DC8534707CA3B3713A0" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Condensed Financial Statements, Captions [Line Items]</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperationsAbstract" xlink:label="loc_us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperationsAbstract_7529E7CFAB4962BD711E07CA3B37361C" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ProfitLoss_040F50E43811FA173F3A07CA3B384C94_terseLabel_en-US" xlink:label="lab_us-gaap_ProfitLoss_040F50E43811FA173F3A07CA3B384C94" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Net income</link:label>
    <link:label id="lab_us-gaap_ProfitLoss_040F50E43811FA173F3A07CA3B384C94_label_en-US" xlink:label="lab_us-gaap_ProfitLoss_040F50E43811FA173F3A07CA3B384C94" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Net Income (Loss), Including Portion Attributable to Noncontrolling Interest</link:label>
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    <link:label id="lab_us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_245983963D842D76AD2907CA3B382C6E_verboseLabel_en-US" xlink:label="lab_us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_245983963D842D76AD2907CA3B382C6E" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Changes in operating and intercompany assets and liabilities and non-cash items included in net income</link:label>
    <link:label id="lab_us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_245983963D842D76AD2907CA3B382C6E_label_en-US" xlink:label="lab_us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_245983963D842D76AD2907CA3B382C6E" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities</link:label>
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    <link:label id="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74_totalLabel_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Net cash provided by operating activities</link:label>
    <link:label id="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74_label_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Net Cash Provided by (Used in) Operating Activities</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivities" xlink:label="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74" xlink:to="lab_us-gaap_NetCashProvidedByUsedInOperatingActivities_8815C6789B5127CED90F07CA3B387F74" xlink:type="arc" />
    <link:label id="lab_us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperationsAbstract_1D66C5F7DD730FBEE39207CA3B38F642_terseLabel_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperationsAbstract_1D66C5F7DD730FBEE39207CA3B38F642" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Cash flows from investing activities:</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperationsAbstract" xlink:label="loc_us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperationsAbstract_1D66C5F7DD730FBEE39207CA3B38F642" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperationsAbstract_1D66C5F7DD730FBEE39207CA3B38F642" xlink:to="lab_us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperationsAbstract_1D66C5F7DD730FBEE39207CA3B38F642" xlink:type="arc" />
    <link:label id="lab_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_366E6C34905ABAC5ED9E07CA3B380D22_negatedTerseLabel_en-US" xlink:label="lab_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_366E6C34905ABAC5ED9E07CA3B380D22" xlink:role="http://www.xbrl.org/2009/role/negatedTerseLabel" xlink:type="resource" xml:lang="en-US">Additions of property and equipment</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsToAcquirePropertyPlantAndEquipment" xlink:label="loc_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_366E6C34905ABAC5ED9E07CA3B380D22" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_366E6C34905ABAC5ED9E07CA3B380D22" xlink:to="lab_us-gaap_PaymentsToAcquirePropertyPlantAndEquipment_366E6C34905ABAC5ED9E07CA3B380D22" xlink:type="arc" />
    <link:label id="lab_us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates_EDD5155D1521999826D007CA3B399FC2_negatedLabel_en-US" xlink:label="lab_us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates_EDD5155D1521999826D007CA3B399FC2" xlink:role="http://www.xbrl.org/2009/role/negatedLabel" xlink:type="resource" xml:lang="en-US">Acquisitions and divestitures, net</link:label>
    <link:label id="lab_us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates_EDD5155D1521999826D007CA3B399FC2_label_en-US" xlink:label="lab_us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates_EDD5155D1521999826D007CA3B399FC2" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Payments for (Proceeds from) Businesses and Interest in Affiliates</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates" xlink:label="loc_us-gaap_PaymentsForProceedsFromBusinessesAndInterestInAffiliates_EDD5155D1521999826D007CA3B399FC2" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ProceedsFromSaleOfProductiveAssets_137BDB0C3B20F092BC3B07CA3B39C8AD_terseLabel_en-US" xlink:label="lab_us-gaap_ProceedsFromSaleOfProductiveAssets_137BDB0C3B20F092BC3B07CA3B39C8AD" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Proceeds from asset sales</link:label>
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    <link:label id="lab_dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther_DE961DDB7F2066E08D6307CA3B392CD6_negatedTerseLabel_en-US" xlink:label="lab_dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther_DE961DDB7F2066E08D6307CA3B392CD6" xlink:role="http://www.xbrl.org/2009/role/negatedTerseLabel" xlink:type="resource" xml:lang="en-US">Investments and other items, net</link:label>
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    <link:loc xlink:href="dva-20181231.xsd#dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther" xlink:label="loc_dva_PaymentsForProceedsFromSaleOfInvestmentsInSecuritiesAndOther_DE961DDB7F2066E08D6307CA3B392CD6" xlink:type="locator" />
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    <link:label id="lab_us-gaap_NetCashProvidedByUsedInInvestingActivities_7EAAFBFC825237E7DE5F07CA3B39BAC7_totalLabel_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInInvestingActivities_7EAAFBFC825237E7DE5F07CA3B39BAC7" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Net cash used in investing activities</link:label>
    <link:label id="lab_us-gaap_NetCashProvidedByUsedInInvestingActivities_7EAAFBFC825237E7DE5F07CA3B39BAC7_label_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInInvestingActivities_7EAAFBFC825237E7DE5F07CA3B39BAC7" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Net Cash Provided by (Used in) Investing Activities</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInInvestingActivities" xlink:label="loc_us-gaap_NetCashProvidedByUsedInInvestingActivities_7EAAFBFC825237E7DE5F07CA3B39BAC7" xlink:type="locator" />
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    <link:label id="lab_dva_ProceedsFromRepaymentsOfLongTermDebt_1065607A6B1E2211ED3507CA3B3A5D9A_terseLabel_en-US" xlink:label="lab_dva_ProceedsFromRepaymentsOfLongTermDebt_1065607A6B1E2211ED3507CA3B3A5D9A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Long-term debt and related financing costs, net</link:label>
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    <link:label id="lab_us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt_C7B4653CBF194EC5999C07CA3B3AB110_verboseLabel_en-US" xlink:label="lab_us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt_C7B4653CBF194EC5999C07CA3B3AB110" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Intercompany</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt" xlink:label="loc_us-gaap_ProceedsFromRepaymentsOfRelatedPartyDebt_C7B4653CBF194EC5999C07CA3B3AB110" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_4A0302694F87184CBCDE07CA3B3A64B9_terseLabel_en-US" xlink:label="lab_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_4A0302694F87184CBCDE07CA3B3A64B9" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Other items</link:label>
    <link:label id="lab_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_4A0302694F87184CBCDE07CA3B3A64B9_label_en-US" xlink:label="lab_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_4A0302694F87184CBCDE07CA3B3A64B9" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Proceeds from (Payments for) Other Financing Activities</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromPaymentsForOtherFinancingActivities" xlink:label="loc_us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_4A0302694F87184CBCDE07CA3B3A64B9" xlink:type="locator" />
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    <link:label id="lab_us-gaap_NetCashProvidedByUsedInFinancingActivities_96DAA1999C66AD17D92B07CA3B3ADE9F_totalLabel_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInFinancingActivities_96DAA1999C66AD17D92B07CA3B3ADE9F" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Net cash used in financing activities</link:label>
    <link:label id="lab_us-gaap_NetCashProvidedByUsedInFinancingActivities_96DAA1999C66AD17D92B07CA3B3ADE9F_label_en-US" xlink:label="lab_us-gaap_NetCashProvidedByUsedInFinancingActivities_96DAA1999C66AD17D92B07CA3B3ADE9F" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Net Cash Provided by (Used in) Financing Activities</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInFinancingActivities" xlink:label="loc_us-gaap_NetCashProvidedByUsedInFinancingActivities_96DAA1999C66AD17D92B07CA3B3ADE9F" xlink:type="locator" />
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    <link:label id="lab_us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_A819AAEA8513EBCA700307E2EF715CDC_label_en-US" xlink:label="lab_us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_A819AAEA8513EBCA700307E2EF715CDC" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations" xlink:label="loc_us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_A819AAEA8513EBCA700307E2EF715CDC" xlink:type="locator" />
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    <link:label id="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_C57C909D43648E1FF25807E2EFC7F177_totalLabel_en-US" xlink:label="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_C57C909D43648E1FF25807E2EFC7F177" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:type="resource" xml:lang="en-US">Less: Net increase (decrease) in cash, cash equivalents and restricted cash from discontinued operations</link:label>
    <link:label id="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_C57C909D43648E1FF25807E2EFC7F177_label_en-US" xlink:label="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_C57C909D43648E1FF25807E2EFC7F177" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect" xlink:label="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect_C57C909D43648E1FF25807E2EFC7F177" xlink:type="locator" />
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    <link:label id="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_4D8BC0D00C9F36B1285007F221A674E1_periodStartLabel_en-US" xlink:label="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_4D8BC0D00C9F36B1285007F221A674E1" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xlink:type="resource" xml:lang="en-US">Cash, cash equivalents and restricted cash of continuing operations at beginning of the year</link:label>
    <link:label id="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_4D8BC0D00C9F36B1285007F221A674E1_label_en-US" xlink:label="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_4D8BC0D00C9F36B1285007F221A674E1" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents" xlink:label="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_4D8BC0D00C9F36B1285007F221A674E1" xlink:type="locator" />
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    <link:label id="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_5244C3D33A2203BD22A907E2F35A0719_periodEndLabel_en-US" xlink:label="lab_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_5244C3D33A2203BD22A907E2F35A0719" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xlink:type="resource" xml:lang="en-US">Cash, cash equivalents and restricted cash of continuing operations at end of the year</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents" xlink:label="loc_us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_5244C3D33A2203BD22A907E2F35A0719" xlink:type="locator" />
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    <link:label id="lab_us-gaap_AccountingPoliciesAbstract_93EA49125B2CF5105FAE0C07B0A8DB2C_label_en-US" xlink:label="lab_us-gaap_AccountingPoliciesAbstract_93EA49125B2CF5105FAE0C07B0A8DB2C" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Accounting Policies [Abstract]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AccountingPoliciesAbstract" xlink:label="loc_us-gaap_AccountingPoliciesAbstract_93EA49125B2CF5105FAE0C07B0A8DB2C" xlink:type="locator" />
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    <link:label id="lab_us-gaap_BasisOfAccountingPolicyPolicyTextBlock_67219AD011BFE8865CB20C07B0A81D3A_terseLabel_en-US" xlink:label="lab_us-gaap_BasisOfAccountingPolicyPolicyTextBlock_67219AD011BFE8865CB20C07B0A81D3A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Basis of presentation</link:label>
    <link:label id="lab_us-gaap_BasisOfAccountingPolicyPolicyTextBlock_67219AD011BFE8865CB20C07B0A81D3A_label_en-US" xlink:label="lab_us-gaap_BasisOfAccountingPolicyPolicyTextBlock_67219AD011BFE8865CB20C07B0A81D3A" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Basis of Accounting, Policy [Policy Text Block]</link:label>
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    <link:label id="lab_us-gaap_UseOfEstimates_470524CA85C7072352F10C07B0A979DC_terseLabel_en-US" xlink:label="lab_us-gaap_UseOfEstimates_470524CA85C7072352F10C07B0A979DC" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Use of estimates</link:label>
    <link:label id="lab_us-gaap_UseOfEstimates_470524CA85C7072352F10C07B0A979DC_label_en-US" xlink:label="lab_us-gaap_UseOfEstimates_470524CA85C7072352F10C07B0A979DC" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Use of Estimates, Policy [Policy Text Block]</link:label>
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    <link:label id="lab_dva_RevenueRecognitionAndAccountsReceivablePolicyTextBlock_0E44461AD8AC3946F3190C07B0A9BE1A_terseLabel_en-US" xlink:label="lab_dva_RevenueRecognitionAndAccountsReceivablePolicyTextBlock_0E44461AD8AC3946F3190C07B0A9BE1A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Patient service net revenues and accounts receivable</link:label>
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    <link:label id="lab_dva_AllowanceForUncollectibleAccountsPolicyTextBlock_3A018FE5AD52EE68A6FE0C07B0A900C7_terseLabel_en-US" xlink:label="lab_dva_AllowanceForUncollectibleAccountsPolicyTextBlock_3A018FE5AD52EE68A6FE0C07B0A900C7" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Allowance for uncollectible accounts</link:label>
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    <link:label id="lab_dva_OtherNonoperatingIncomeExpensePolicyTextBlock_55C4A849512D70A5B3FF0C07B0A954B3_terseLabel_en-US" xlink:label="lab_dva_OtherNonoperatingIncomeExpensePolicyTextBlock_55C4A849512D70A5B3FF0C07B0A954B3" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Other income</link:label>
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    <link:label id="lab_dva_OtherNonoperatingIncomeExpensePolicyTextBlock_55C4A849512D70A5B3FF0C07B0A954B3_documentation_en-US" xlink:label="lab_dva_OtherNonoperatingIncomeExpensePolicyTextBlock_55C4A849512D70A5B3FF0C07B0A954B3" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Other nonoperating income (expense), policy.</link:label>
    <link:loc xlink:href="dva-20181231.xsd#dva_OtherNonoperatingIncomeExpensePolicyTextBlock" xlink:label="loc_dva_OtherNonoperatingIncomeExpensePolicyTextBlock_55C4A849512D70A5B3FF0C07B0A954B3" xlink:type="locator" />
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    <link:label id="lab_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA_terseLabel_en-US" xlink:label="lab_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Cash and cash equivalents</link:label>
    <link:label id="lab_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA_label_en-US" xlink:label="lab_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Cash and Cash Equivalents, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashAndCashEquivalentsPolicyTextBlock" xlink:label="loc_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA" xlink:to="lab_us-gaap_CashAndCashEquivalentsPolicyTextBlock_085F53F34FF891CB2AE20C07B0AABCDA" xlink:type="arc" />
    <link:label id="lab_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7_terseLabel_en-US" xlink:label="lab_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Investments in debt and equity securities</link:label>
    <link:label id="lab_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7_label_en-US" xlink:label="lab_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Investment, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InvestmentPolicyTextBlock" xlink:label="loc_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7" xlink:to="lab_us-gaap_InvestmentPolicyTextBlock_AC544DBD1D9108BB74200C07B0AA83B7" xlink:type="arc" />
    <link:label id="lab_us-gaap_InventoryPolicyTextBlock_D0CD658FD10665C443180C07B0AA9EEA_terseLabel_en-US" xlink:label="lab_us-gaap_InventoryPolicyTextBlock_D0CD658FD10665C443180C07B0AA9EEA" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Inventories</link:label>
    <link:label id="lab_us-gaap_InventoryPolicyTextBlock_D0CD658FD10665C443180C07B0AA9EEA_label_en-US" xlink:label="lab_us-gaap_InventoryPolicyTextBlock_D0CD658FD10665C443180C07B0AA9EEA" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Inventory, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InventoryPolicyTextBlock" xlink:label="loc_us-gaap_InventoryPolicyTextBlock_D0CD658FD10665C443180C07B0AA9EEA" xlink:type="locator" />
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    <link:label id="lab_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B_terseLabel_en-US" xlink:label="lab_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Property and equipment</link:label>
    <link:label id="lab_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B_label_en-US" xlink:label="lab_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Property, Plant and Equipment, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PropertyPlantAndEquipmentPolicyTextBlock" xlink:label="loc_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B" xlink:to="lab_us-gaap_PropertyPlantAndEquipmentPolicyTextBlock_FC14177A314817798C0C0C07B0AA4A8B" xlink:type="arc" />
    <link:label id="lab_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6_terseLabel_en-US" xlink:label="lab_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Amortizable intangibles</link:label>
    <link:label id="lab_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6_label_en-US" xlink:label="lab_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Intangible Assets, Finite-Lived, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IntangibleAssetsFiniteLivedPolicy" xlink:label="loc_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6" xlink:to="lab_us-gaap_IntangibleAssetsFiniteLivedPolicy_35628198FDB0AF3C5FD00C07B0AA79F6" xlink:type="arc" />
    <link:label id="lab_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235_terseLabel_en-US" xlink:label="lab_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Indefinite-lived intangibles</link:label>
    <link:label id="lab_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235_label_en-US" xlink:label="lab_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Goodwill and Intangible Assets, Intangible Assets, Indefinite-Lived, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy" xlink:label="loc_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235" xlink:to="lab_us-gaap_GoodwillAndIntangibleAssetsIntangibleAssetsIndefiniteLivedPolicy_2BB1A226EAA816058CA20C07B0AB7235" xlink:type="arc" />
    <link:label id="lab_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F_terseLabel_en-US" xlink:label="lab_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Equity investments and other investments</link:label>
    <link:label id="lab_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F_label_en-US" xlink:label="lab_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Equity Method Investments [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentsPolicy" xlink:label="loc_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F" xlink:to="lab_us-gaap_EquityMethodInvestmentsPolicy_18C82DD24D335429C4500C07B0AB4C2F" xlink:type="arc" />
    <link:label id="lab_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921_terseLabel_en-US" xlink:label="lab_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Goodwill</link:label>
    <link:label id="lab_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921_label_en-US" xlink:label="lab_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy" xlink:label="loc_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921" xlink:to="lab_us-gaap_GoodwillAndIntangibleAssetsGoodwillPolicy_B4C86EFEEF5C3AD374B30C07B0AB0921" xlink:type="arc" />
    <link:label id="lab_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1_terseLabel_en-US" xlink:label="lab_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Impairment of equity method and other investments</link:label>
    <link:label id="lab_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1_label_en-US" xlink:label="lab_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Impairment Of Equity Method And Other Investments [Policy Text Block]</link:label>
    <link:label id="lab_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1_documentation_en-US" xlink:label="lab_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Impairment Of Equity Method And Other Investments [Policy Text Block]</link:label>
    <link:loc xlink:href="dva-20181231.xsd#dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock" xlink:label="loc_dva_ImpairmentOfEquityMethodAndOtherInvestmentsPolicyTextBlock_1F2118F8783AA57A33A80C07B0AB27F1" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776_terseLabel_en-US" xlink:label="lab_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Impairment of other long-lived assets</link:label>
    <link:label id="lab_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776_label_en-US" xlink:label="lab_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock" xlink:label="loc_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776" xlink:to="lab_us-gaap_ImpairmentOrDisposalOfLongLivedAssetsPolicyTextBlock_D5103D190BA6DCCE7FF60C07B0AB6776" xlink:type="arc" />
    <link:label id="lab_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF_terseLabel_en-US" xlink:label="lab_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Self insurance</link:label>
    <link:label id="lab_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF_label_en-US" xlink:label="lab_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Insurance And Self Insurance Policy [Text Block]</link:label>
    <link:label id="lab_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF_documentation_en-US" xlink:label="lab_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Insurance and self insurance policy.</link:label>
    <link:loc xlink:href="dva-20181231.xsd#dva_InsuranceAndSelfInsurancePolicyTextBlock" xlink:label="loc_dva_InsuranceAndSelfInsurancePolicyTextBlock_78E06477A7FEA0685F140C07B0AB1BDF" xlink:type="locator" />
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    <link:label id="lab_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06_terseLabel_en-US" xlink:label="lab_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Income taxes</link:label>
    <link:label id="lab_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06_label_en-US" xlink:label="lab_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Income Tax, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxPolicyTextBlock" xlink:label="loc_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06" xlink:to="lab_us-gaap_IncomeTaxPolicyTextBlock_3B8A4099727E0AC745520C07B0AC3F06" xlink:type="arc" />
    <link:label id="lab_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF_terseLabel_en-US" xlink:label="lab_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Stock-based compensation</link:label>
    <link:label id="lab_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF_label_en-US" xlink:label="lab_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Compensation Related Costs, Policy [Policy Text Block]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CompensationRelatedCostsPolicyTextBlock" xlink:label="loc_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF" xlink:to="lab_us-gaap_CompensationRelatedCostsPolicyTextBlock_7AF20F8CF76D99696E4D0C07B0AC04DF" xlink:type="arc" />
    <link:label id="lab_us-gaap_DerivativesPolicyTextBlock_D5EE3CB8F695753756370C07B0AC5854_terseLabel_en-US" xlink:label="lab_us-gaap_DerivativesPolicyTextBlock_D5EE3CB8F695753756370C07B0AC5854" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Interest rate swap and cap agreements</link:label>
    <link:label id="lab_us-gaap_DerivativesPolicyTextBlock_D5EE3CB8F695753756370C07B0AC5854_label_en-US" xlink:label="lab_us-gaap_DerivativesPolicyTextBlock_D5EE3CB8F695753756370C07B0AC5854" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Derivatives, Policy [Policy Text Block]</link:label>
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    <link:loc xlink:href="dva-20181231.xsd#dva_SharebasedCompensationArrangementbySharebasedPaymentAwardFullValueSharesToAvailableSharesConversionRatio" xlink:label="loc_dva_SharebasedCompensationArrangementbySharebasedPaymentAwardFullValueSharesToAvailableSharesConversionRatio_ED5CE2E14051F4C15B311161054A9599" xlink:type="locator" />
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    <link:label id="lab_us-gaap_DeferredCompensationSharebasedArrangementsLiabilityCurrentAndNoncurrent_66DBD990695927FDA7831161055006DB_terseLabel_en-US" xlink:label="lab_us-gaap_DeferredCompensationSharebasedArrangementsLiabilityCurrentAndNoncurrent_66DBD990695927FDA7831161055006DB" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Stock-based compensation liability</link:label>
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    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue_675C1C1C367389BB3B3D1161055133FE_terseLabel_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue_675C1C1C367389BB3B3D1161055133FE" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Aggregate intrinsic value of stock awards exercised</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue_675C1C1C367389BB3B3D1161055133FE" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue_675C1C1C367389BB3B3D1161055133FE" xlink:to="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue_675C1C1C367389BB3B3D1161055133FE" xlink:type="arc" />
    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_7100AC4482347C52A48E11610551AD70_terseLabel_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_7100AC4482347C52A48E11610551AD70" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Aggregate intrinsic value of stock awards outstanding</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_7100AC4482347C52A48E11610551AD70" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_7100AC4482347C52A48E11610551AD70" xlink:to="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue_7100AC4482347C52A48E11610551AD70" xlink:type="arc" />
    <link:label id="lab_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1_EE705384FBA74D0B001B11610551B5A3_terseLabel_en-US" xlink:label="lab_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1_EE705384FBA74D0B001B11610551B5A3" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Aggregate intrinsic value of stock awards exercisable</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1" xlink:label="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1_EE705384FBA74D0B001B11610551B5A3" xlink:type="locator" />
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    <link:label id="lab_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4_terseLabel_en-US" xlink:label="lab_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Employee entitlement for purchase of the Company's common stock during each calendar year</link:label>
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    <link:label id="lab_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4_documentation_en-US" xlink:label="lab_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Share based compensation arrangement by share based payment award maximum share value authorized for purchase.</link:label>
    <link:loc xlink:href="dva-20181231.xsd#dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase" xlink:label="loc_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4" xlink:to="lab_dva_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumShareValueAuthorizedForPurchase_80E56BFB7CBF400DFBF5116105514AE4" xlink:type="arc" />
    <link:label id="lab_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardPurchasePriceOfCommonStockPercent_1FA21F80A31FAC75E00411610551A873_terseLabel_en-US" xlink:label="lab_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardPurchasePriceOfCommonStockPercent_1FA21F80A31FAC75E00411610551A873" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Stock purchase price as percentage of fair market value</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardPurchasePriceOfCommonStockPercent" xlink:label="loc_us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardPurchasePriceOfCommonStockPercent_1FA21F80A31FAC75E00411610551A873" xlink:type="locator" />
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    <link:label id="lab_us-gaap_EmployeeRelatedLiabilitiesCurrent_A52DD0423B6F39160FFB116105513F97_verboseLabel_en-US" xlink:label="lab_us-gaap_EmployeeRelatedLiabilitiesCurrent_A52DD0423B6F39160FFB116105513F97" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Contributions used to purchase stock accumulated through payroll withholdings or through optional lump sum payments</link:label>
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    <link:label id="lab_us-gaap_StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans_6882B63CEEFD6FDA529711610552807E_verboseLabel_en-US" xlink:label="lab_us-gaap_StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans_6882B63CEEFD6FDA529711610552807E" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Stock issued for employee stock purchase plans</link:label>
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    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate_39FBE836C20C19F601BD11610552CBDB_verboseLabel_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate_39FBE836C20C19F601BD11610552CBDB" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Expected volatility Rate</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate_39FBE836C20C19F601BD11610552CBDB" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageExpectedDividend_F46E2317C087125ED6E7116105528CB8_terseLabel_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageExpectedDividend_F46E2317C087125ED6E7116105528CB8" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Share-based awards, fair value assumptions, expected dividend</link:label>
    <link:label id="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageExpectedDividend_F46E2317C087125ED6E7116105528CB8_label_en-US" xlink:label="lab_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageExpectedDividend_F46E2317C087125ED6E7116105528CB8" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Weighted Average Expected Dividend</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageExpectedDividend" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageExpectedDividend_F46E2317C087125ED6E7116105528CB8" xlink:type="locator" />
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    <link:label id="lab_dva_LongtermIncentiveProgramCompensationCost_EF116D7E2D2FB6559FAE11610552A567_terseLabel_en-US" xlink:label="lab_dva_LongtermIncentiveProgramCompensationCost_EF116D7E2D2FB6559FAE11610552A567" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Long-term incentive program (LTIP) expense</link:label>
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    <link:label id="lab_dva_EmployeeServiceShareBasedCompensationEstimatedTaxBenefitFromCompensationExpense_197CF8ECD384297B95B21161055305CF_terseLabel_en-US" xlink:label="lab_dva_EmployeeServiceShareBasedCompensationEstimatedTaxBenefitFromCompensationExpense_197CF8ECD384297B95B21161055305CF" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Estimated tax benefits recorded for stock-based compensation</link:label>
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    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized_F695BDACD4912C90ECB611610553BFE8" xlink:to="lab_us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized_F695BDACD4912C90ECB611610553BFE8" xlink:type="arc" />
    <link:label id="lab_dva_LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedPeriodForRecognition_7518C2E45CC762B0EDA0116105536824_terseLabel_en-US" xlink:label="lab_dva_LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedPeriodForRecognition_7518C2E45CC762B0EDA0116105536824" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Unrecognized compensation cost related to nonvested stock-based compensation arrangements under performance-based cash component of LTIP costs, weighted average remaining period (in years)</link:label>
    <link:label id="lab_dva_LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedPeriodForRecognition_7518C2E45CC762B0EDA0116105536824_label_en-US" xlink:label="lab_dva_LongtermIncentiveProgramAwardsCompensationCostNotYetRecognizedPeriodForRecognition_7518C2E45CC762B0EDA0116105536824" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Longterm Incentive Program Awards Compensation Cost Not Yet Recognized Period For Recognition</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense" xlink:label="loc_us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense_017C6C55EB5A4DF3270C1161055421AE" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ProceedsFromStockOptionsExercised_E6AD9AC316AE0267EC861161055497BF_label_en-US" xlink:label="lab_us-gaap_ProceedsFromStockOptionsExercised_E6AD9AC316AE0267EC861161055497BF" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Proceeds from Stock Options Exercised</link:label>
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    <link:label id="lab_us-gaap_TreasuryStockSharesAcquired_0CE4306FDA46776CDE7F116105548F37_terseLabel_en-US" xlink:label="lab_us-gaap_TreasuryStockSharesAcquired_0CE4306FDA46776CDE7F116105548F37" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Purchase of treasury stock (in shares)</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TreasuryStockSharesAcquired" xlink:label="loc_us-gaap_TreasuryStockSharesAcquired_0CE4306FDA46776CDE7F116105548F37" xlink:type="locator" />
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TreasuryStockValueAcquiredCostMethod" xlink:label="loc_us-gaap_TreasuryStockValueAcquiredCostMethod_B62FBAECB9D1E9E4C9A6116105549D4E" xlink:type="locator" />
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TreasuryStockAcquiredAverageCostPerShare" xlink:label="loc_us-gaap_TreasuryStockAcquiredAverageCostPerShare_E2E55318A4BB0058BBDF11610554682E" xlink:type="locator" />
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