05D0573365 CLIA NUMBER - POMONA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0573365
  • Facility Name: POMONA DIALYSIS
  • Facility Address: 2111 N GAREY AVE
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 596-9997
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHIRAG K. VAIDYA
  • NPI Number: 1609840347
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0573365
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name POMONA DIALYSIS
Street 2111 N GAREY AVE
City POMONA
State CA
ZIP 91767
Phone 909 596-9997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHIRAG K. VAIDYA

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This page was last updated on: 6/4/2025