05D1048796 CLIA NUMBER - AZUSA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1048796
  • Facility Name: AZUSA DIALYSIS CENTER
  • Facility Address: 310-312 AZUSA AVE
    AZUSA, CA
    ZIP 91702
  • Facility Phone: 626 633-1500
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AAMIR JAMAL, MD
  • NPI Number: 1578775045
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1048796
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AZUSA DIALYSIS CENTER
Street 310-312 AZUSA AVE
City AZUSA
State CA
ZIP 91702
Phone 626 633-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AAMIR JAMAL, MD

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