05D2315243 CLIA NUMBER - TOTAL RENAL CARE, INC DBA HILLCREST HOME TRAINING

Laboratory Demographics

  • CLIA Code: 05D2315243
  • Facility Name: TOTAL RENAL CARE, INC DBA HILLCREST HOME TRAINING
  • Facility Address: 4033 3RD AVE STE 310
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 858 828-6372
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AMBARISH ATHAVALE
  • NPI Number: 1619707700
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2315243
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE, INC DBA HILLCREST HOME TRAINING
Street 4033 3RD AVE STE 310
City SAN DIEGO
State CA
ZIP 92103
Phone 858 828-6372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AMBARISH ATHAVALE

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