05D0962067 CLIA NUMBER - SILVER LAKE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0962067
  • Facility Name: SILVER LAKE DIALYSIS
  • Facility Address: 2723 WEST TEMPLE STREET
    LOS ANGELES, CA
    ZIP 90026
  • Facility Phone: 213 480-3039
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: EBEN I. FEINSTEIN, MD
  • NPI Number: 1306088059
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0962067
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SILVER LAKE DIALYSIS
Street 2723 WEST TEMPLE STREET
City LOS ANGELES
State CA
ZIP 90026
Phone 213 480-3039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director EBEN I. FEINSTEIN, MD

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