05D0718934 CLIA NUMBER - CITRUS DIALYSIS CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0718934
  • Facility Name: CITRUS DIALYSIS CENTER INC
  • Facility Address: 315 N THIRD AVE SUITE # 104
    COVINA, CA
    ZIP 91723
  • Facility Phone: 626 331-0133
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOJTABA MOGHADAM
  • NPI Number: 1255342861
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0718934
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CITRUS DIALYSIS CENTER INC
Street 315 N THIRD AVE SUITE # 104
City COVINA
State CA
ZIP 91723
Phone 626 331-0133
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 MOJTABA MOGHADAM

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