05D0925339 CLIA NUMBER - CARSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0925339
  • Facility Name: CARSON DIALYSIS
  • Facility Address: 1309 E CARSON ST
    CARSON, CA
    ZIP 90745
  • Facility Phone: 310 513-1427
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HOSAYN A. KHALEELI
  • NPI Number: 1649541954
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0925339
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARSON DIALYSIS
Street 1309 E CARSON ST
City CARSON
State CA
ZIP 90745
Phone 310 513-1427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HOSAYN A. KHALEELI

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