05D0872538 CLIA NUMBER - MURRIETA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0872538
  • Facility Name: MURRIETA DIALYSIS
  • Facility Address: 27602 CLINTON KEITH RD, BLDG F
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 679-7914
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SALAM G. ISHAK
  • NPI Number: 1003879461
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0872538
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MURRIETA DIALYSIS
Street 27602 CLINTON KEITH RD, BLDG F
City MURRIETA
State CA
ZIP 92562
Phone 951 679-7914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2023
Certificate Expiration Date 5/11/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SALAM G. ISHAK

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This page was last updated on: 3/20/2025