05D2164674 CLIA NUMBER - MONROVIA DIALYSIS FACILITY INC

Laboratory Demographics

  • CLIA Code: 05D2164674
  • Facility Name: MONROVIA DIALYSIS FACILITY INC
  • Facility Address: 1930 WALKER AVENUE
    MONROVIA, CA
    ZIP 91016
  • Facility Phone: 626 256-1007
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HARESH KHILNANI
  • NPI Number: 1669688263
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D2164674
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONROVIA DIALYSIS FACILITY INC
Street 1930 WALKER AVENUE
City MONROVIA
State CA
ZIP 91016
Phone 626 256-1007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HARESH KHILNANI

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