45D0964821 CLIA NUMBER - VALLEY KIDNEY INSTITUTE

Laboratory Demographics

CLIA Number: 45D0964821

Facility Name: VALLEY KIDNEY INSTITUTE

Facility Address:
900 PLAZA DRIVE, STE 5
MISSION, TX
ZIP 78572
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Facility Phone Number: 956 583-0095

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972741130

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	45D0964821
LAB Type	Physician Office
Facility Name	VALLEY KIDNEY INSTITUTE
Street	900 PLAZA DRIVE, STE 5
City	MISSION
State	TX
ZIP	78572
Phone	956 583-0095
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024