05D2287703 CLIA NUMBER - LINCOLN HEIGHTS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D2287703
  • Facility Name: LINCOLN HEIGHTS DIALYSIS CENTER
  • Facility Address: 1833 JOHNSON STREET
    LOS ANGELES, CA
    ZIP 90031
  • Facility Phone: 323 287-9558
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHAO MING LU
  • NPI Number: 1912633207
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2287703
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LINCOLN HEIGHTS DIALYSIS CENTER
Street 1833 JOHNSON STREET
City LOS ANGELES
State CA
ZIP 90031
Phone 323 287-9558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 8/15/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHAO MING LU

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This page was last updated on: 6/4/2025