05D0711393 CLIA NUMBER - HEMET DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 05D0711393

Facility Name: HEMET DIALYSIS CENTER

Facility Address:
3050 W FLORIDA AVE
HEMET, CA
ZIP 92545
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Facility Phone Number: 951 654-1066

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1033178546

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0711393
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HEMET DIALYSIS CENTER
Street	3050 W FLORIDA AVE
City	HEMET
State	CA
ZIP	92545
Phone	951 654-1066
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024