05D0887904 CLIA NUMBER - AIRPORT SUNRISE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0887904
  • Facility Name: AIRPORT SUNRISE DIALYSIS
  • Facility Address: 11300 HAWTHORNE BLVD
    INGLEWOOD, CA
    ZIP 90304
  • Facility Phone: 310 680-0601
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MALAY R. DAS, MD
  • NPI Number: 1902869035
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0887904
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AIRPORT SUNRISE DIALYSIS
Street 11300 HAWTHORNE BLVD
City INGLEWOOD
State CA
ZIP 90304
Phone 310 680-0601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MALAY R. DAS, MD

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