05D2020374 CLIA NUMBER - GALA DIALYSIS, LLC

Laboratory Demographics

  • CLIA Code: 05D2020374
  • Facility Name: GALA DIALYSIS, LLC
  • Facility Address: 1666 W 3RD ST
    LOS ANGELES, CA
    ZIP 90017
  • Facility Phone: 213 989-0247
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRUCE A. GREENFIELD
  • NPI Number: 1386962041
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2020374
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GALA DIALYSIS, LLC
Street 1666 W 3RD ST
City LOS ANGELES
State CA
ZIP 90017
Phone 213 989-0247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRUCE A. GREENFIELD

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