45D0920049 CLIA NUMBER - BAYLOR SCOTT & WHITE DIALYSIS CENTER-KILLEEN

Laboratory Demographics

  • CLIA Code: 45D0920049
  • Facility Name: BAYLOR SCOTT & WHITE DIALYSIS CENTER-KILLEEN
  • Facility Address: 3701 SCOTT AND WHITE BLVD
    KILLEEN, TX
    ZIP 76543
  • Facility Phone: 254 680-1371
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAN NARAYANAN M D
  • NPI Number: 1922063320
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0920049
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAYLOR SCOTT & WHITE DIALYSIS CENTER-KILLEEN
Street 3701 SCOTT AND WHITE BLVD
City KILLEEN
State TX
ZIP 76543
Phone 254 680-1371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAN NARAYANAN M D

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