CLIA lab

CLIA 05D2164674: Monrovia Dialysis Facility Inc

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

CLIA number 05D2164674 belongs to Monrovia Dialysis Facility Inc in Monrovia, CA.

Certificate of Waiver, effective April 11, 2025, expires April 10, 2027.

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
April 11, 2025
Certificate expiration
April 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 11, 2019
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
05D2164674
Lab name
Monrovia Dialysis Facility Inc
Address
1930 Walker Avenue, Monrovia, CA 91016
Phone
(626) 256-1007
Fax
(626) 256-1008

Annual test volume the lab reported

Waived tests
500

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

Care facility at this address

Other labs in Monrovia, CA

Related

Questions

What is the CLIA number for Monrovia Dialysis Facility Inc in Monrovia?

05D2164674, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Monrovia Dialysis Facility Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2164674 expire?

The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.

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