05D0935214 CLIA NUMBER - COVINA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0935214
  • Facility Name: COVINA DIALYSIS CENTER
  • Facility Address: 1547 W GARVEY AVE N
    WEST COVINA, CA
    ZIP 91790
  • Facility Phone: 626 960-9405
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SOLOMON HUANG
  • NPI Number: 1639130206
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0935214
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COVINA DIALYSIS CENTER
Street 1547 W GARVEY AVE N
City WEST COVINA
State CA
ZIP 91790
Phone 626 960-9405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SOLOMON HUANG

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