05D2230456 CLIA NUMBER - CALAH PARTNERS LLC DBA US RENAL CARE ORANGE COUNTY HOME DIALYSIS

Laboratory Demographics

CLIA Number: 05D2230456

Facility Name: CALAH PARTNERS LLC DBA US RENAL CARE ORANGE COUNTY HOME DIALYSIS

Facility Address:
10941 BLOOMFIELD ST SUITE C
LOS ALAMITOS, CA
ZIP 90720
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Facility Phone Number: 562 228-1410

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1770158891

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2230456
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CALAH PARTNERS LLC DBA US RENAL CARE ORANGE COUNTY HOME DIALYSIS
Street	10941 BLOOMFIELD ST SUITE C
City	LOS ALAMITOS
State	CA
ZIP	90720
Phone	562 228-1410
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024