05D2102216 CLIA NUMBER - USRC SOUTH BAY, LLC DBA US RENAL CARE SOUTH BAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2102216
  • Facility Name: USRC SOUTH BAY, LLC DBA US RENAL CARE SOUTH BAY DIALYSIS
  • Facility Address: 4450 182ND STREET
    REDONDO BEACH, CA
    ZIP 90278
  • Facility Phone: 310 542-8032
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VINH T. CAM, MD
  • NPI Number: 1033595194
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2102216
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SOUTH BAY, LLC DBA US RENAL CARE SOUTH BAY DIALYSIS
Street 4450 182ND STREET
City REDONDO BEACH
State CA
ZIP 90278
Phone 310 542-8032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VINH T. CAM, MD

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