05D1069875 CLIA NUMBER - SANTA FE SPRINGS DIALYSIS

Laboratory Demographics

CLIA Number: 05D1069875

Facility Name: SANTA FE SPRINGS DIALYSIS

Facility Address:
11147 WASHINGTON BLVD
WHITTIER, CA
ZIP 90606
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Facility Phone Number: 562 695-0827

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1619184199

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1069875
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SANTA FE SPRINGS DIALYSIS
Street	11147 WASHINGTON BLVD
City	WHITTIER
State	CA
ZIP	90606
Phone	562 695-0827
CertificateType	4
CertificateEffectiveDate	6/14/2023
CertificateExpirationDate	6/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024