05D0985504 CLIA NUMBER - CRESCENT HEIGHTS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0985504
  • Facility Name: CRESCENT HEIGHTS DIALYSIS CENTER
  • Facility Address: 8151 BEVERLY BOULEVARD
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 323 655-6226
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN GRAHAM MD
  • NPI Number: 1164483533
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0985504
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CRESCENT HEIGHTS DIALYSIS CENTER
Street 8151 BEVERLY BOULEVARD
City LOS ANGELES
State CA
ZIP 90048
Phone 323 655-6226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEPHEN GRAHAM MD

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