05D1006132 CLIA NUMBER - TUSTIN DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1006132
  • Facility Name: TUSTIN DIALYSIS
  • Facility Address: 2090 N TUSTIN AVE STE 100
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 835-2450
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEVE BUI
  • NPI Number: 1174586226
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1006132
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TUSTIN DIALYSIS
Street 2090 N TUSTIN AVE STE 100
City SANTA ANA
State CA
ZIP 92705
Phone 714 835-2450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEVE BUI

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