05D2168018 CLIA NUMBER - BEACH DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2168018
  • Facility Name: BEACH DIALYSIS
  • Facility Address: 12456 BEACH BLVD
    STANTON, CA
    ZIP 90680
  • Facility Phone: 714 373-9447
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA AHDOOT
  • NPI Number: 1144721770
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2168018
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BEACH DIALYSIS
Street 12456 BEACH BLVD
City STANTON
State CA
ZIP 90680
Phone 714 373-9447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REBECCA AHDOOT

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