05D2080355 CLIA NUMBER - BLUFF RD DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2080355
  • Facility Name: BLUFF RD DIALYSIS
  • Facility Address: 100 W WASHINGTON BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 728-2984
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN HUANG
  • NPI Number: 1679990543
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2080355
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BLUFF RD DIALYSIS
Street 100 W WASHINGTON BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 728-2984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEVIN HUANG

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