19D0894581 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 19D0894581
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 1322 KINGS HIGHWAY
    SHREVEPORT, LA
    ZIP 71103
  • Facility Phone: 318 226-1020
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH ABREO
  • NPI Number: 1396255311
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0894581
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 1322 KINGS HIGHWAY
City SHREVEPORT
State LA
ZIP 71103
Phone 318 226-1020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KENNETH ABREO

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