05D2191953 CLIA NUMBER - SAN MARINO HOME TRAINING

Laboratory Demographics

  • CLIA Code: 05D2191953
  • Facility Name: SAN MARINO HOME TRAINING
  • Facility Address: 900 HUNTINGTON DRIVE SUITE B
    SAN MARINO, CA
    ZIP 91108
  • Facility Phone: 626 741-1824
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PAUL HWU
  • NPI Number: 1659997112
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2191953
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN MARINO HOME TRAINING
Street 900 HUNTINGTON DRIVE SUITE B
City SAN MARINO
State CA
ZIP 91108
Phone 626 741-1824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PAUL HWU

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