45D0923744 CLIA NUMBER - RIVERSIDE RENAL CENTER

Laboratory Demographics

  • CLIA Code: 45D0923744
  • Facility Name: RIVERSIDE RENAL CENTER
  • Facility Address: 3710 FM 1889
    ROBSTOWN, TX
    ZIP 78380
  • Facility Phone: 361 241-4873
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM SHAFFER
  • NPI Number: 1790731784
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0923744
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERSIDE RENAL CENTER
Street 3710 FM 1889
City ROBSTOWN
State TX
ZIP 78380
Phone 361 241-4873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM SHAFFER

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This page was last updated on: 3/20/2025