03D2089651 CLIA NUMBER - EDGE RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 03D2089651
  • Facility Name: EDGE RIVER DIALYSIS
  • Facility Address: 1197 S REDONDO CENTER DR
    YUMA, AZ
    ZIP 85365
  • Facility Phone: 928 329-4340
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANNIE HYON
  • NPI Number: 1356745236
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2089651
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EDGE RIVER DIALYSIS
Street 1197 S REDONDO CENTER DR
City YUMA
State AZ
ZIP 85365
Phone 928 329-4340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANNIE HYON

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This page was last updated on: 9/29/2025