05D0720533 CLIA NUMBER - LA PUENTE DIALYSIS CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0720533
  • Facility Name: LA PUENTE DIALYSIS CENTER INC
  • Facility Address: 14557 TEMPLE AVE
    LA PUENTE, CA
    ZIP 91744
  • Facility Phone: 626 917-1719
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED ARIF ALI RIZVI
  • NPI Number: 1730190331
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0720533
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LA PUENTE DIALYSIS CENTER INC
Street 14557 TEMPLE AVE
City LA PUENTE
State CA
ZIP 91744
Phone 626 917-1719
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 SYED ARIF ALI RIZVI

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: 9/29/2025