45D0716398 CLIA NUMBER - WATERLOO DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 45D0716398
  • Facility Name: WATERLOO DIALYSIS CENTER
  • Facility Address: 5310 BURNET RD, UNIT 122
    AUSTIN, TX
    ZIP 78756
  • Facility Phone: 512 420-9403
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY R. HINES
  • NPI Number: 1780648360
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0716398
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WATERLOO DIALYSIS CENTER
Street 5310 BURNET RD, UNIT 122
City AUSTIN
State TX
ZIP 78756
Phone 512 420-9403
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 TIMOTHY R. HINES

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