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45D0902753 CLIA NUMBER - NATIONAL NEPHROLOGY ASSOCIATES OF TEXAS D/B/A NNA-NORTH

Laboratory Demographics

CLIA Number: 45D0902753

Facility Name: NATIONAL NEPHROLOGY ASSOCIATES OF TEXAS D/B/A NNA-NORTH

Facility Address:
12221 RENFERT WAY STE 100
AUSTIN, TX
ZIP 78758
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Facility Phone Number: 512 873-0643

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1528170404

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 45D0902753
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NATIONAL NEPHROLOGY ASSOCIATES OF TEXAS D/B/A NNA-NORTH
Street 12221 RENFERT WAY STE 100
City AUSTIN
State TX
ZIP 78758
Phone 512 873-0643
CertificateType 4
CertificateEffectiveDate 6/28/2023
CertificateExpirationDate 6/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024