32D0937792 CLIA NUMBER - DIALYSIS CLINIC INC RIO RANCHO

Laboratory Demographics

  • CLIA Code: 32D0937792
  • Facility Name: DIALYSIS CLINIC INC RIO RANCHO
  • Facility Address: 4045 JACKIE ROAD SE
    RIO RANCHO, NM
    ZIP 87124
  • Facility Phone: 505 896-8861
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. PHILLIP ZAGER
  • NPI Number: 1124051503
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 32D0937792
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC RIO RANCHO
Street 4045 JACKIE ROAD SE
City RIO RANCHO
State NM
ZIP 87124
Phone 505 896-8861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. PHILLIP ZAGER

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