45D0965530 CLIA NUMBER - BAY AREA DIALYSIS - SOUTHSIDE

Laboratory Demographics

  • CLIA Code: 45D0965530
  • Facility Name: BAY AREA DIALYSIS - SOUTHSIDE
  • Facility Address: 4112 SOUTH STAPLES STREET, SUITE A-B
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 814-0168
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DIN SABEEH
  • NPI Number: 1437128618
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D0965530
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAY AREA DIALYSIS - SOUTHSIDE
Street 4112 SOUTH STAPLES STREET, SUITE A-B
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 814-0168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DIN SABEEH

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