05D0977540 CLIA NUMBER - EAST PALMDALE DIALYSIS CENTER LLC

Laboratory Demographics

CLIA Number: 05D0977540

Facility Name: EAST PALMDALE DIALYSIS CENTER LLC

Facility Address:
2710 E PALMDALE BLVD
PALMDALE, CA
ZIP 93550
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Facility Phone Number: (661) 546-6702

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1316968977

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0977540
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	EAST PALMDALE DIALYSIS CENTER LLC
Street	2710 E PALMDALE BLVD
City	PALMDALE
State	CA
ZIP	93550
Phone	(661) 546-6702

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This page was last updated on: 5/11/2023