05D1013553 CLIA NUMBER - BARNNY JEPP, LLC DBA U.S.RENAL CARE GRAND AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1013553
  • Facility Name: BARNNY JEPP, LLC DBA U.S.RENAL CARE GRAND AVENUE DIALYSIS
  • Facility Address: 1400 SOUTH GRAND AVE STE 105
    LOS ANGELES, CA
    ZIP 90015
  • Facility Phone: 213 867-1111
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRUCE A. GREENFIELD MD
  • NPI Number: 1548231608
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1013553
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BARNNY JEPP, LLC DBA U.S.RENAL CARE GRAND AVENUE DIALYSIS
Street 1400 SOUTH GRAND AVE STE 105
City LOS ANGELES
State CA
ZIP 90015
Phone 213 867-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRUCE A. GREENFIELD MD

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