05D2164833 CLIA NUMBER - LA MIRADA DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2164833
  • Facility Name: LA MIRADA DIALYSIS
  • Facility Address: 14337 IMPERIAL HWY
    LA MIRADA, CA
    ZIP 90638
  • Facility Phone: 562 321-2085
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLY SINGH
  • NPI Number: 1033647334
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2164833
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LA MIRADA DIALYSIS
Street 14337 IMPERIAL HWY
City LA MIRADA
State CA
ZIP 90638
Phone 562 321-2085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLY SINGH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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