05D2306746 CLIA NUMBER - HOLT DIALYSIS CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2306746
  • Facility Name: HOLT DIALYSIS CENTER INC
  • Facility Address: 550 INDIAN HILL BLVD SUITE 100
    POMONA, CA
    ZIP 91767
  • Facility Phone: 909 542-2900
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KRISHI CHANDURI
  • NPI Number: 1477133296
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2306746
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOLT DIALYSIS CENTER INC
Street 550 INDIAN HILL BLVD SUITE 100
City POMONA
State CA
ZIP 91767
Phone 909 542-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KRISHI CHANDURI

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