05D2112674 CLIA NUMBER - USRC LITTLE TOKYO LLC DBA U S RENAL CARE LITTLE TOKYO DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2112674
  • Facility Name: USRC LITTLE TOKYO LLC DBA U S RENAL CARE LITTLE TOKYO DIALYSIS
  • Facility Address: 420 E 3RD ST STE 120
    LOS ANGELES, CA
    ZIP 90013
  • Facility Phone: 213 625-0706
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VINCENT L. ANTHONY MD
  • NPI Number: 1487013199
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2112674
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC LITTLE TOKYO LLC DBA U S RENAL CARE LITTLE TOKYO DIALYSIS
Street 420 E 3RD ST STE 120
City LOS ANGELES
State CA
ZIP 90013
Phone 213 625-0706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VINCENT L. ANTHONY MD

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