05D2129460 CLIA NUMBER - REDHAWK DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2129460
  • Facility Name: REDHAWK DIALYSIS
  • Facility Address: 44605 AVENIDA DE MISSIONES STE 100
    TEMECULA, CA
    ZIP 92592
  • Facility Phone: 951 303-3039
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID F. CHANG
  • NPI Number: 1861949331
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2129460
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name REDHAWK DIALYSIS
Street 44605 AVENIDA DE MISSIONES STE 100
City TEMECULA
State CA
ZIP 92592
Phone 951 303-3039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID F. CHANG

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