05D0877114 CLIA NUMBER - UNITED DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0877114
  • Facility Name: UNITED DIALYSIS CENTER
  • Facility Address: 3111 LONG BEACH BLVD
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 426-5155
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RODRIGO ROCHA
  • NPI Number: 1154384121
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0877114
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNITED DIALYSIS CENTER
Street 3111 LONG BEACH BLVD
City LONG BEACH
State CA
ZIP 90807
Phone 562 426-5155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RODRIGO ROCHA

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