05D2024239 CLIA NUMBER - CARSON-AVALON DIALYSIS, LLC DBA: U.S. RENAL CARE CARSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2024239
  • Facility Name: CARSON-AVALON DIALYSIS, LLC DBA: U.S. RENAL CARE CARSON DIALYSIS
  • Facility Address: 930 E DOMINGUEZ ST STE B,C,D
    CARSON, CA
    ZIP 90746
  • Facility Phone: 310 532-5100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KHAJA R. AHMED MD
  • NPI Number: 1700186350
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2024239
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARSON-AVALON DIALYSIS, LLC DBA: U.S. RENAL CARE CARSON DIALYSIS
Street 930 E DOMINGUEZ ST STE B,C,D
City CARSON
State CA
ZIP 90746
Phone 310 532-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KHAJA R. AHMED MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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