45D0909311 CLIA NUMBER - AUSTIN DIALYSIS CENTERS LP DBA EL MILAGRO DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 45D0909311
  • Facility Name: AUSTIN DIALYSIS CENTERS LP DBA EL MILAGRO DIALYSIS UNIT
  • Facility Address: 2800 S IH35 SUITE 120
    AUSTIN, TX
    ZIP 78704
  • Facility Phone: (512) 448-9750
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES MORTIZ
  • NPI Number: 1235192196
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0909311
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name AUSTIN DIALYSIS CENTERS LP DBA EL MILAGRO DIALYSIS UNIT
Street 2800 S IH35 SUITE 120
City AUSTIN
State TX
ZIP 78704
Phone 5124489750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2025
Certificate Expiration Date 11/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARLES MORTIZ

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This page was last updated on: 5/15/2026