05D2170297 CLIA NUMBER - WESTMONT DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2170297
  • Facility Name: WESTMONT DIALYSIS
  • Facility Address: 11239 SOUTH WESTERN AVENUE
    LOS ANGELES, CA
    ZIP 90047
  • Facility Phone: 323 242-3970
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FIROOZ PAK MD
  • NPI Number: 1326544925
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2170297
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WESTMONT DIALYSIS
Street 11239 SOUTH WESTERN AVENUE
City LOS ANGELES
State CA
ZIP 90047
Phone 323 242-3970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FIROOZ PAK MD

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