45D0909951 CLIA NUMBER - NORTHEAST TEXAS DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D0909951
  • Facility Name: NORTHEAST TEXAS DIALYSIS
  • Facility Address: 413B US 59
    ATLANTA, TX
    ZIP 75551
  • Facility Phone: (903) 796-3311
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JASON LEE
  • NPI Number: 1578545539
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0909951
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHEAST TEXAS DIALYSIS
Street 413B US 59
City ATLANTA
State TX
ZIP 75551
Phone 9037963311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2025
Certificate Expiration Date 12/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JASON LEE

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This page was last updated on: 5/18/2026