05D1031396 CLIA NUMBER - EAST LA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1031396
  • Facility Name: EAST LA DIALYSIS CENTER
  • Facility Address: 5830 E WHITTIER BLVD
    EAST LOS ANGELES, CA
    ZIP 90022
  • Facility Phone: 323 887-8545
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS R. MEZA
  • NPI Number: 1528105293
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1031396
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST LA DIALYSIS CENTER
Street 5830 E WHITTIER BLVD
City EAST LOS ANGELES
State CA
ZIP 90022
Phone 323 887-8545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARLOS R. MEZA

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