05D1104186 CLIA NUMBER - HIGHLAND RANCH DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1104186
  • Facility Name: HIGHLAND RANCH DIALYSIS CENTER
  • Facility Address: 7223 CHURCH ST STE A14
    HIGHLAND, CA
    ZIP 92346
  • Facility Phone: 909 862-9670
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KLEMENS HUYNH
  • NPI Number: 1942599592
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1104186
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HIGHLAND RANCH DIALYSIS CENTER
Street 7223 CHURCH ST STE A14
City HIGHLAND
State CA
ZIP 92346
Phone 909 862-9670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KLEMENS HUYNH

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