05D0912894 CLIA NUMBER - MOUNTAIN VIEW DIALYSIS CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D0912894
  • Facility Name: MOUNTAIN VIEW DIALYSIS CENTER, INC
  • Facility Address: 900 S MOUNTAIN AVE
    MONROVIA, CA
    ZIP 91016
  • Facility Phone: 626 917-1719
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AMNA RIZVI MD
  • NPI Number: 1588675110
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0912894
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MOUNTAIN VIEW DIALYSIS CENTER, INC
Street 900 S MOUNTAIN AVE
City MONROVIA
State CA
ZIP 91016
Phone 626 917-1719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AMNA RIZVI MD

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