05D0861895 CLIA NUMBER - MONTEREY PARK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0861895
  • Facility Name: MONTEREY PARK DIALYSIS CENTER
  • Facility Address: 883 S ATLANTIC BLVD
    MONTEREY PARK, CA
    ZIP 91754
  • Facility Phone: 213 780-8787
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WIN WIN HIAING MD
  • NPI Number: 1184161580
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0861895
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONTEREY PARK DIALYSIS CENTER
Street 883 S ATLANTIC BLVD
City MONTEREY PARK
State CA
ZIP 91754
Phone 213 780-8787
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 WIN WIN HIAING MD

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This page was last updated on: 9/29/2025