05D0962071 CLIA NUMBER - 300 S ROBERTSON DIALYSIS, LLC DBA:U.S.RENAL CARE WESTSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0962071
  • Facility Name: 300 S ROBERTSON DIALYSIS, LLC DBA:U.S.RENAL CARE WESTSIDE DIALYSIS
  • Facility Address: 300 SOUTH ROBERTSON BOULEVARD
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 385-8683
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DONALD F. NORTMAN MD
  • NPI Number: 1962473025
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0962071
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name 300 S ROBERTSON DIALYSIS, LLC DBA:U.S.RENAL CARE WESTSIDE DIALYSIS
Street 300 SOUTH ROBERTSON BOULEVARD
City LOS ANGELES
State CA
ZIP 90048
Phone 310 385-8683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DONALD F. NORTMAN MD

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