05D1057592 CLIA NUMBER - ONTARIO DIALYSIS CENTER INC

Laboratory Demographics

CLIA Number: 05D1057592

Facility Name: ONTARIO DIALYSIS CENTER INC

Facility Address:
1001 WEST 6TH STREET, SUITE B
ONTARIO, CA
ZIP 91762
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Facility Phone Number: (909) 984-0320

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1992971774

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1057592
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	ONTARIO DIALYSIS CENTER INC
Street	1001 WEST 6TH STREET, SUITE B
City	ONTARIO
State	CA
ZIP	91762
Phone	(909) 984-0320

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This page was last updated on: 5/11/2023