05D2048471 CLIA NUMBER - LAGUNA HILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2048471
  • Facility Name: LAGUNA HILLS DIALYSIS
  • Facility Address: 25332 CABOT RD
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 380-1925
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HABIB AZAD
  • NPI Number: 1801158498
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2048471
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAGUNA HILLS DIALYSIS
Street 25332 CABOT RD
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 380-1925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HABIB AZAD

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