05D2059051 CLIA NUMBER - BOYLE HEIGHTS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2059051
  • Facility Name: BOYLE HEIGHTS DIALYSIS
  • Facility Address: 1936 E 1ST ST
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 606 268-2729
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LUON PENG MD
  • NPI Number: 1659498004
  • Taxonomy: 207RI0011X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2059051
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BOYLE HEIGHTS DIALYSIS
Street 1936 E 1ST ST
City LOS ANGELES
State CA
ZIP 90033
Phone 606 268-2729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LUON PENG 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: 6/4/2025