45D0909100 CLIA NUMBER - CLEVELAND DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 45D0909100
  • Facility Name: CLEVELAND DIALYSIS CENTER
  • Facility Address: 202E FORT WORTH STREET
    CLEVELAND, TX
    ZIP 77327
  • Facility Phone: 281 659-9679
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD J. FOLEY
  • NPI Number: 1740796853
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0909100
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CLEVELAND DIALYSIS CENTER
Street 202E FORT WORTH STREET
City CLEVELAND
State TX
ZIP 77327
Phone 281 659-9679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD J. FOLEY

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