05D0937725 CLIA NUMBER - KIDNEY CENTER OF PANORAMA CITY INC DBA: U.S. RENAL CARE PANORAMA CITY DIALYSIS

Laboratory Demographics

CLIA Number: 05D0937725

Facility Name: KIDNEY CENTER OF PANORAMA CITY INC DBA: U.S. RENAL CARE PANORAMA CITY DIALYSIS

Facility Address:
14600 ROSCOE BLVD
PANORAMA CITY, CA
ZIP 91402
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Facility Phone Number: 818 901-9822

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1881639342

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0937725
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	KIDNEY CENTER OF PANORAMA CITY INC DBA: U.S. RENAL CARE PANORAMA CITY DIALYSIS
Street	14600 ROSCOE BLVD
City	PANORAMA CITY
State	CA
ZIP	91402
Phone	818 901-9822
CertificateType	4
CertificateEffectiveDate	12/22/2023
CertificateExpirationDate	12/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024