05D0948114 CLIA NUMBER - US RENAL CARE LONG BEACH DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0948114
  • Facility Name: US RENAL CARE LONG BEACH DIALYSIS
  • Facility Address: 1045 ATLANTIC AVE, STE 108
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 562 435-3637
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ESSAM MAASARANI
  • NPI Number: 1487625190
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0948114
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE LONG BEACH DIALYSIS
Street 1045 ATLANTIC AVE, STE 108
City LONG BEACH
State CA
ZIP 90813
Phone 562 435-3637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ESSAM MAASARANI

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