05D0971206 CLIA NUMBER - KENNETH HAHN PLAZA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0971206
  • Facility Name: KENNETH HAHN PLAZA DIALYSIS CENTER
  • Facility Address: 11854 SOUTH WILMINGTON AVENUE
    LOS ANGELES, CA
    ZIP 90059
  • Facility Phone: 323 567-5077
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MONICA THORNHILL-JOYNES, MD
  • NPI Number: 1235198797
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0971206
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENNETH HAHN PLAZA DIALYSIS CENTER
Street 11854 SOUTH WILMINGTON AVENUE
City LOS ANGELES
State CA
ZIP 90059
Phone 323 567-5077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MONICA THORNHILL-JOYNES, MD

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