45D0982057 CLIA NUMBER - NATIONAL NEPHROLOGY ASSOCIATES OF TX LP D/B/A NNA BASTROP

Laboratory Demographics

  • CLIA Code: 45D0982057
  • Facility Name: NATIONAL NEPHROLOGY ASSOCIATES OF TX LP D/B/A NNA BASTROP
  • Facility Address: 423 OLD AUSTIN HIGHWAY
    BASTROP, TX
    ZIP 78602
  • Facility Phone: 512 581-9993
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KANDICE SMITH
  • NPI Number: 1881706760
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D0982057
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NATIONAL NEPHROLOGY ASSOCIATES OF TX LP D/B/A NNA BASTROP
Street 423 OLD AUSTIN HIGHWAY
City BASTROP
State TX
ZIP 78602
Phone 512 581-9993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KANDICE SMITH

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This page was last updated on: 6/4/2025