45D0908237 CLIA NUMBER - SPRING BRANCH DIALYSIS

Laboratory Demographics

CLIA Number: 45D0908237

Facility Name: SPRING BRANCH DIALYSIS

Facility Address:
1425 BLALOCK SUITE 100
HOUSTON, TX
ZIP 77055
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Facility Phone Number: 713 932-7795

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1144897562

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	45D0908237
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SPRING BRANCH DIALYSIS
Street	1425 BLALOCK SUITE 100
City	HOUSTON
State	TX
ZIP	77055
Phone	713 932-7795
CertificateType	4
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	Waiver

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