05D1000731 CLIA NUMBER - TEMPLE CITY DIALYSIS FACILITY

Laboratory Demographics

  • CLIA Code: 05D1000731
  • Facility Name: TEMPLE CITY DIALYSIS FACILITY
  • Facility Address: 9945 LOWER AZUSA RD
    TEMPLE CITY, CA
    ZIP 91780
  • Facility Phone: 626 442-3400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HARESH KHILNANI
  • NPI Number: 1609887157
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1000731
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TEMPLE CITY DIALYSIS FACILITY
Street 9945 LOWER AZUSA RD
City TEMPLE CITY
State CA
ZIP 91780
Phone 626 442-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HARESH KHILNANI

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