05D0958987 CLIA NUMBER - WASHINGTON PLAZA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0958987
  • Facility Name: WASHINGTON PLAZA DIALYSIS CENTER
  • Facility Address: 516 E WASHINGTON BLVD STE 522
    LOS ANGELES, CA
    ZIP 90015
  • Facility Phone: 213 749-2433
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEON ROVNER
  • NPI Number: 1922061944
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0958987
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WASHINGTON PLAZA DIALYSIS CENTER
Street 516 E WASHINGTON BLVD STE 522
City LOS ANGELES
State CA
ZIP 90015
Phone 213 749-2433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LEON ROVNER

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