05D1069561 CLIA NUMBER - BIXBY KNOLLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1069561
  • Facility Name: BIXBY KNOLLS DIALYSIS
  • Facility Address: 3744 LONG BEACH BLVD
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 424-1403
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARVIND MEHTA MD
  • NPI Number: 1003024647
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1069561
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BIXBY KNOLLS DIALYSIS
Street 3744 LONG BEACH BLVD
City LONG BEACH
State CA
ZIP 90807
Phone 562 424-1403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARVIND MEHTA MD

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This page was last updated on: 6/4/2025