05D1107257 CLIA NUMBER - INNOVATIVE DIALYSIS CENTER OF VERDUGO HILLS, LLC DBA: U.S. RENAL CARE VERDUGO HILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1107257
  • Facility Name: INNOVATIVE DIALYSIS CENTER OF VERDUGO HILLS, LLC DBA: U.S. RENAL CARE VERDUGO HILLS DIALYSIS
  • Facility Address: 1808 VERDUGO BLVD STE 200
    GLENDALE, CA
    ZIP 91208
  • Facility Phone: 818 790-0712
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL F. HABASHY
  • NPI Number: 1558608380
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1107257
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INNOVATIVE DIALYSIS CENTER OF VERDUGO HILLS, LLC DBA: U.S. RENAL CARE VERDUGO HILLS DIALYSIS
Street 1808 VERDUGO BLVD STE 200
City GLENDALE
State CA
ZIP 91208
Phone 818 790-0712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL F. HABASHY

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