05D0549343 CLIA NUMBER - IMPERIAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0549343
  • Facility Name: IMPERIAL DIALYSIS
  • Facility Address: 2738 W IMPERIAL HWY
    INGLEWOOD, CA
    ZIP 90303
  • Facility Phone: 310 779-5399
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD L. SIRES MD
  • NPI Number: 1174744544
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0549343
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name IMPERIAL DIALYSIS
Street 2738 W IMPERIAL HWY
City INGLEWOOD
State CA
ZIP 90303
Phone 310 779-5399
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 RICHARD L. SIRES MD

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