45D0894158 CLIA NUMBER - TRINITY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 45D0894158
  • Facility Name: TRINITY DIALYSIS CENTER
  • Facility Address: 1210 ALSTON AVE
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 338-1302
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJ HALKER
  • NPI Number: 1801154125
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0894158
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRINITY DIALYSIS CENTER
Street 1210 ALSTON AVE
City FORT WORTH
State TX
ZIP 76104
Phone 817 338-1302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJ HALKER

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