05D2153744 CLIA NUMBER - MAYFAIR DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2153744
  • Facility Name: MAYFAIR DIALYSIS
  • Facility Address: 4930 PARAMOUNT BLVD
    LAKEWOOD, CA
    ZIP 90712
  • Facility Phone: 424 296-6870
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AVEDIK SEMERJIAN
  • NPI Number: 1295263283
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153744
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MAYFAIR DIALYSIS
Street 4930 PARAMOUNT BLVD
City LAKEWOOD
State CA
ZIP 90712
Phone 424 296-6870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AVEDIK SEMERJIAN

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