05D1015076 CLIA NUMBER - CENTURY CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1015076
  • Facility Name: CENTURY CITY DIALYSIS
  • Facility Address: 10630 SANTA MONICA BLVD
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 954-2700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANJAY RASTOGI MD
  • NPI Number: 1285699900
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1015076
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTURY CITY DIALYSIS
Street 10630 SANTA MONICA BLVD
City LOS ANGELES
State CA
ZIP 90025
Phone 310 954-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANJAY RASTOGI MD

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