05D1066915 CLIA NUMBER - REDLANDS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1066915
  • Facility Name: REDLANDS DIALYSIS
  • Facility Address: 1722 ORANGE TREE LANE
    REDLANDS, CA
    ZIP 92374
  • Facility Phone: 909 307-0686
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL HWANG MD
  • NPI Number: 1336319607
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1066915
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name REDLANDS DIALYSIS
Street 1722 ORANGE TREE LANE
City REDLANDS
State CA
ZIP 92374
Phone 909 307-0686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DANIEL HWANG MD

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