05D2087238 CLIA NUMBER - AVALON DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2087238
  • Facility Name: AVALON DIALYSIS
  • Facility Address: 5807 AVALON BLVD
    LOS ANGELES, CA
    ZIP 90011
  • Facility Phone: 323 233-2452
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES ROE
  • NPI Number: 1659780120
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2087238
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AVALON DIALYSIS
Street 5807 AVALON BLVD
City LOS ANGELES
State CA
ZIP 90011
Phone 323 233-2452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES ROE

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