05D1080922 CLIA NUMBER - CARABELLO DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1080922
  • Facility Name: CARABELLO DIALYSIS CENTER
  • Facility Address: 757 E WASHINGTON BLVD
    LOS ANGELES, CA
    ZIP 90015
  • Facility Phone: 213 745-2860
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN CHENG
  • NPI Number: 1831411446
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1080922
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARABELLO DIALYSIS CENTER
Street 757 E WASHINGTON BLVD
City LOS ANGELES
State CA
ZIP 90015
Phone 213 745-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JONATHAN CHENG

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