05D0937111 CLIA NUMBER - DOCTORS DIALYSIS CENTER OF MONTEBELLO

Laboratory Demographics

  • CLIA Code: 05D0937111
  • Facility Name: DOCTORS DIALYSIS CENTER OF MONTEBELLO
  • Facility Address: 1721 W WHITTIER BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 722-1116
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. WIN WIN HLAING
  • NPI Number: 1568601789
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0937111
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DOCTORS DIALYSIS CENTER OF MONTEBELLO
Street 1721 W WHITTIER BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 722-1116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. WIN WIN HLAING

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