05D2230213 CLIA NUMBER - USC KOREA TOWN HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2230213
  • Facility Name: USC KOREA TOWN HOME DIALYSIS
  • Facility Address: 3660 WILSHIRE BLVD, STE 338
    LOS ANGELES, CA
    ZIP 90010
  • Facility Phone: 213 900-1415
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARSHIA GHAFFARI
  • NPI Number: 1376118281
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2230213
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USC KOREA TOWN HOME DIALYSIS
Street 3660 WILSHIRE BLVD, STE 338
City LOS ANGELES
State CA
ZIP 90010
Phone 213 900-1415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARSHIA GHAFFARI

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