05D2077837 CLIA NUMBER - ANAHEIM SPRINGS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2077837
  • Facility Name: ANAHEIM SPRINGS DIALYSIS
  • Facility Address: 1324 S EUCLID ST
    ANAHEIM, CA
    ZIP 92802
  • Facility Phone: 714 774-1518
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD ISMAIL
  • NPI Number: 1407270804
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2077837
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANAHEIM SPRINGS DIALYSIS
Street 1324 S EUCLID ST
City ANAHEIM
State CA
ZIP 92802
Phone 714 774-1518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD ISMAIL

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