45D0877261 CLIA NUMBER - HEREFORD DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 45D0877261
  • Facility Name: HEREFORD DIALYSIS CENTER
  • Facility Address: 533 A NORTH 25 MILE AVE
    HEREFORD, TX
    ZIP 79045
  • Facility Phone: 915 364-4292
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KARI L. BULLARD
  • NPI Number: 1003342510
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D0877261
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HEREFORD DIALYSIS CENTER
Street 533 A NORTH 25 MILE AVE
City HEREFORD
State TX
ZIP 79045
Phone 915 364-4292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KARI L. BULLARD

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