05D2048020 CLIA NUMBER - LIBERTY DIALYSIS - PASADENA LLC

Laboratory Demographics

  • CLIA Code: 05D2048020
  • Facility Name: LIBERTY DIALYSIS - PASADENA LLC
  • Facility Address: 757 S RAYMOND AVE STE 100
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 396-6957
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYEDA ALI
  • NPI Number: 1740554773
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2048020
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS - PASADENA LLC
Street 757 S RAYMOND AVE STE 100
City PASADENA
State CA
ZIP 91105
Phone 626 396-6957
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYEDA ALI

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