05D1081460 CLIA NUMBER - RAI GOLDENWEST WESTMINSTER RAI-CARE CENTERS OF GOLDENWEST

Laboratory Demographics

  • CLIA Code: 05D1081460
  • Facility Name: RAI GOLDENWEST WESTMINSTER RAI-CARE CENTERS OF GOLDENWEST
  • Facility Address: 15330 GOLDENWEST ST
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 373-1543
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOGINDER M. JODHKA
  • NPI Number: 1629275383
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1081460
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RAI GOLDENWEST WESTMINSTER RAI-CARE CENTERS OF GOLDENWEST
Street 15330 GOLDENWEST ST
City WESTMINSTER
State CA
ZIP 92683
Phone 714 373-1543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOGINDER M. JODHKA

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