CLIA lab

CLIA 05D1048796: Azusa Dialysis Center

Azusa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1048796 belongs to Azusa Dialysis Center in Azusa, CA.

Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 14, 2024
Certificate expiration
November 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 12, 2005
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1048796
Lab name
Azusa Dialysis Center
Address
312 Azusa Ave, Azusa, CA 91702
Phone
(626) 633-1500
Fax
(626) 633-1501

Annual test volume the lab reported

Waived tests
260

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Azusa, CA

Related

Questions

What is the CLIA number for Azusa Dialysis Center in Azusa?

05D1048796, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Azusa Dialysis Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1048796 expire?

The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.

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