05D2059051 CLIA NUMBER - Boyle Heights Dialysis

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Laboratory Demographics

CLIA Number: 05D2059051

Facility Name: Boyle Heights Dialysis

Facility Address:
1936 E 1st St,
Los Angeles, CA
ZIP 90033
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Facility Phone Number: (606) 268-2729

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1811235161

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2059051
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	Boyle Heights Dialysis
Street	1936 E 1st St,
City	Los Angeles
State	CA
ZIP	90033
Phone	6062682729

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This page was last updated on: 5/19/2019