05D0897386 CLIA NUMBER - PREMIER DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0897386
  • Facility Name: PREMIER DIALYSIS CENTER
  • Facility Address: 7612 ATLANTIC AVENUE
    CUDAHY, CA
    ZIP 90201
  • Facility Phone: 323 562-5511
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAMON GUADIZ
  • NPI Number: 1073576153
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0897386
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PREMIER DIALYSIS CENTER
Street 7612 ATLANTIC AVENUE
City CUDAHY
State CA
ZIP 90201
Phone 323 562-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAMON GUADIZ

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