05D0663606 CLIA NUMBER - GREATER LOS ANGELES DIALYSIS CENTERS, LLC DBA UNIVERSITY PARK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0663606
  • Facility Name: GREATER LOS ANGELES DIALYSIS CENTERS, LLC DBA UNIVERSITY PARK DIALYSIS CENTER
  • Facility Address: 3986 SOUTH FIGUEROA STREET
    LOS ANGELES, CA
    ZIP 90037
  • Facility Phone: 213 749-8297
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES ROE MD
  • NPI Number: 1003879081
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0663606
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREATER LOS ANGELES DIALYSIS CENTERS, LLC DBA UNIVERSITY PARK DIALYSIS CENTER
Street 3986 SOUTH FIGUEROA STREET
City LOS ANGELES
State CA
ZIP 90037
Phone 213 749-8297
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 JAMES ROE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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