05D2149790 CLIA NUMBER - GLENDALE HEIGHTS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2149790
  • Facility Name: GLENDALE HEIGHTS DIALYSIS
  • Facility Address: 6850 SAN FERNANDO
    GLENDALE, CA
    ZIP 91201
  • Facility Phone: 818 563-6164
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ZAKARI, MICHEL, MD ZAKARI, MICHEL, MD
  • NPI Number: 1174043046
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2149790
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLENDALE HEIGHTS DIALYSIS
Street 6850 SAN FERNANDO
City GLENDALE
State CA
ZIP 91201
Phone 818 563-6164
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ZAKARI, MICHEL, MD ZAKARI, MICHEL, MD

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