45D0903324 CLIA NUMBER - COASTAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D0903324
  • Facility Name: COASTAL DIALYSIS
  • Facility Address: 4300 SOUTH PADRE ISLAND DRIVE, SUITE 2-2
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 855-9449
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM SHAFFER
  • NPI Number: 1639125172
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0903324
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COASTAL DIALYSIS
Street 4300 SOUTH PADRE ISLAND DRIVE, SUITE 2-2
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 855-9449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM SHAFFER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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