45D0965534 CLIA NUMBER - BAY AREA DIALYSIS-ALICE

Laboratory Demographics

  • CLIA Code: 45D0965534
  • Facility Name: BAY AREA DIALYSIS-ALICE
  • Facility Address: 901 MEDICAL CENTER BLVD
    ALICE, TX
    ZIP 78332
  • Facility Phone: 361 668-8055
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JORGE VAZQUEZ
  • NPI Number: 1528160702
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0965534
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAY AREA DIALYSIS-ALICE
Street 901 MEDICAL CENTER BLVD
City ALICE
State TX
ZIP 78332
Phone 361 668-8055
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 JORGE VAZQUEZ

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