05D0993912 CLIA NUMBER - MAYBROOK DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D0993912
  • Facility Name: MAYBROOK DIALYSIS
  • Facility Address: 16417 E WHITTIER BLVD
    WHITTIER, CA
    ZIP 90603
  • Facility Phone: 562 947-8999
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HASSAN BOROUJERDI-RAD
  • NPI Number: 1538210208
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0993912
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MAYBROOK DIALYSIS
Street 16417 E WHITTIER BLVD
City WHITTIER
State CA
ZIP 90603
Phone 562 947-8999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HASSAN BOROUJERDI-RAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025