05D2271471 CLIA NUMBER - CENTRO DE CUIDADO RENAL-ELA, LLC

Laboratory Demographics

  • CLIA Code: 05D2271471
  • Facility Name: CENTRO DE CUIDADO RENAL-ELA, LLC
  • Facility Address: 3575 WHITTER BLVD
    LOS ANGELES, CA
    ZIP 90023
  • Facility Phone: 714 654-0465
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TAMEEM ALHAYYA
  • NPI Number: 1255961397
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2271471
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTRO DE CUIDADO RENAL-ELA, LLC
Street 3575 WHITTER BLVD
City LOS ANGELES
State CA
ZIP 90023
Phone 714 654-0465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TAMEEM ALHAYYA

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