45D0916001 CLIA NUMBER - PEARSALL DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D0916001
  • Facility Name: PEARSALL DIALYSIS
  • Facility Address: 1305 NORTH OAK STREET
    PEARSALL, TX
    ZIP 78061
  • Facility Phone: 830 334-4690
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANTIAGO VILLARREAL MD
  • NPI Number: 1386766954
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 45D0916001
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PEARSALL DIALYSIS
Street 1305 NORTH OAK STREET
City PEARSALL
State TX
ZIP 78061
Phone 830 334-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANTIAGO VILLARREAL MD

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