05D0940483 CLIA NUMBER - USRC LOS ALAMITOS, LLC DBA US RENAL CARE LOS ALAMITOS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0940483
  • Facility Name: USRC LOS ALAMITOS, LLC DBA US RENAL CARE LOS ALAMITOS DIALYSIS
  • Facility Address: 3810 KATELLA AVE
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 598-9527
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HEENA CONTRACTOR
  • NPI Number: 1942963665
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0940483
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC LOS ALAMITOS, LLC DBA US RENAL CARE LOS ALAMITOS DIALYSIS
Street 3810 KATELLA AVE
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 598-9527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HEENA CONTRACTOR

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