05D2163118 CLIA NUMBER - ROSE CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2163118
  • Facility Name: ROSE CITY DIALYSIS
  • Facility Address: 1382 LOCUST STREET
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 395-7769
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KALOK E. TSE
  • NPI Number: 1467941534
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2163118
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROSE CITY DIALYSIS
Street 1382 LOCUST STREET
City PASADENA
State CA
ZIP 91105
Phone 626 395-7769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KALOK E. TSE

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