05D0866803 CLIA NUMBER - DOCTORS DIALYSIS OF EAST LOS ANGELES

Laboratory Demographics

  • CLIA Code: 05D0866803
  • Facility Name: DOCTORS DIALYSIS OF EAST LOS ANGELES
  • Facility Address: 950 S EASTERN AVE
    LOS ANGELES, CA
    ZIP 90022
  • Facility Phone: 323 262-2229
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARDAVAN MASHHADIAN
  • NPI Number: 1083853667
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0866803
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DOCTORS DIALYSIS OF EAST LOS ANGELES
Street 950 S EASTERN AVE
City LOS ANGELES
State CA
ZIP 90022
Phone 323 262-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARDAVAN MASHHADIAN

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