05D2191947 CLIA NUMBER - UNIVERSAL ARTIFICIAL KIDNEY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2191947
  • Facility Name: UNIVERSAL ARTIFICIAL KIDNEY CENTER INC
  • Facility Address: 4036 WHITTER BLVD SUITE 100
    LOS ANGELES, CA
    ZIP 90023
  • Facility Phone: 213 279-1177
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAHUL DHAWAN
  • NPI Number: 1104489509
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2191947
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNIVERSAL ARTIFICIAL KIDNEY CENTER INC
Street 4036 WHITTER BLVD SUITE 100
City LOS ANGELES
State CA
ZIP 90023
Phone 213 279-1177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAHUL DHAWAN

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