04D2213021 CLIA NUMBER - TWIN CITIES DIALYSIS

Laboratory Demographics

  • CLIA Code: 04D2213021
  • Facility Name: TWIN CITIES DIALYSIS
  • Facility Address: 2325 TRINITY BLVD
    TEXARKANA, AR
    ZIP 71854
  • Facility Phone: 870 621-3135
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT J. LEACH
  • NPI Number: 1326638511
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2213021
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TWIN CITIES DIALYSIS
Street 2325 TRINITY BLVD
City TEXARKANA
State AR
ZIP 71854
Phone 870 621-3135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ROBERT J. LEACH

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