45D0706709 CLIA NUMBER - AQUA DIALYSIS LUFKIN LLC

Laboratory Demographics

  • CLIA Code: 45D0706709
  • Facility Name: AQUA DIALYSIS LUFKIN LLC
  • Facility Address: 700 S JOHN REDDITT DR
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 682 429-4508
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMRAN NAZEER
  • NPI Number: 1629600408
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0706709
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AQUA DIALYSIS LUFKIN LLC
Street 700 S JOHN REDDITT DR
City LUFKIN
State TX
ZIP 75904
Phone 682 429-4508
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 IMRAN NAZEER

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