45D0664151 CLIA NUMBER - ALICE RENAL CENTER

Laboratory Demographics

  • CLIA Code: 45D0664151
  • Facility Name: ALICE RENAL CENTER
  • Facility Address: 2345 ALICE REGIONAL BLVD
    ALICE, TX
    ZIP 78332
  • Facility Phone: 361 664-1723
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JACK CORTESE
  • NPI Number: 1609822303
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0664151
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ALICE RENAL CENTER
Street 2345 ALICE REGIONAL BLVD
City ALICE
State TX
ZIP 78332
Phone 361 664-1723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JACK CORTESE

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