05D1014771 CLIA NUMBER - PASADENA DIALYSIS LLC DBA ARROYO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1014771
  • Facility Name: PASADENA DIALYSIS LLC DBA ARROYO DIALYSIS
  • Facility Address: 1111 S ARROYO PARKWAY SUITE 150
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 441-9500
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASHOK S. RAJ MD
  • NPI Number: 1972544765
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1014771
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PASADENA DIALYSIS LLC DBA ARROYO DIALYSIS
Street 1111 S ARROYO PARKWAY SUITE 150
City PASADENA
State CA
ZIP 91105
Phone 626 441-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASHOK S. RAJ MD

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: 9/29/2025