05D2153544 CLIA NUMBER - TORRANCE EMERALD DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2153544
  • Facility Name: TORRANCE EMERALD DIALYSIS
  • Facility Address: 20821 HAWTHORNE BOULEVARD
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 214-1715
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PHILLIP CHUNG
  • NPI Number: 1467994285
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153544
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TORRANCE EMERALD DIALYSIS
Street 20821 HAWTHORNE BOULEVARD
City TORRANCE
State CA
ZIP 90503
Phone 310 214-1715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PHILLIP CHUNG

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