05D2105140 CLIA NUMBER - CIRCLE CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2105140
  • Facility Name: CIRCLE CITY DIALYSIS
  • Facility Address: 1180 W 6TH ST STE 101
    CORONA, CA
    ZIP 92882
  • Facility Phone: 951 808-9068
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW CHEUNG MD
  • NPI Number: 1134516206
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2105140
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CIRCLE CITY DIALYSIS
Street 1180 W 6TH ST STE 101
City CORONA
State CA
ZIP 92882
Phone 951 808-9068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANDREW CHEUNG MD

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