05D0548329 CLIA NUMBER - KIDNEY DIALYSIS CARE UNIT

Laboratory Demographics

  • CLIA Code: 05D0548329
  • Facility Name: KIDNEY DIALYSIS CARE UNIT
  • Facility Address: 3600 E MARTIN LUTHER KING JR BOULEVARD
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 310 886-5156
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAMIA KHWAJA
  • NPI Number: 1376502831
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0548329
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KIDNEY DIALYSIS CARE UNIT
Street 3600 E MARTIN LUTHER KING JR BOULEVARD
City LYNWOOD
State CA
ZIP 90262
Phone 310 886-5156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAMIA KHWAJA

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