05D2291721 CLIA NUMBER - AT HOME DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 05D2291721
  • Facility Name: AT HOME DIALYSIS LLC
  • Facility Address: 340 E COMMONWEALTH AVE
    FULLERTON, CA
    ZIP 92832
  • Facility Phone: 657 500-8147
  • Facility Type: Other - HOME HEMO DIALYIS
  • Facility Type: Waiver
  • Lab Director: PRADIP CHOWDHURY
  • NPI Number: 1790401677
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2291721
LAB Type Other - HOME HEMO DIALYIS
Facility Name AT HOME DIALYSIS LLC
Street 340 E COMMONWEALTH AVE
City FULLERTON
State CA
ZIP 92832
Phone 657 500-8147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Other - HOME HEMO DIALYIS
Lab Director PRADIP CHOWDHURY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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