05D2081158 CLIA NUMBER - COLTON RANCH DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2081158
  • Facility Name: COLTON RANCH DIALYSIS
  • Facility Address: 1405 W.VALLEY BOULEVARD STE 100
    COLTON, CA
    ZIP 92324
  • Facility Phone: 909 783-7948
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MINNA F. HUANG, MD
  • NPI Number: 1063838894
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2081158
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLTON RANCH DIALYSIS
Street 1405 W.VALLEY BOULEVARD STE 100
City COLTON
State CA
ZIP 92324
Phone 909 783-7948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MINNA F. HUANG, MD

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