45D1010451 CLIA NUMBER - RENAL CARE GROUP JACKSONVILLE

Laboratory Demographics

  • CLIA Code: 45D1010451
  • Facility Name: RENAL CARE GROUP JACKSONVILLE
  • Facility Address: 908 EAST LOOP 456 SUITE 100
    JACKSONVILLE, TX
    ZIP 75766
  • Facility Phone: 903 589-3828
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALICE D. THOMAS
  • NPI Number: 1386756260
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1010451
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP JACKSONVILLE
Street 908 EAST LOOP 456 SUITE 100
City JACKSONVILLE
State TX
ZIP 75766
Phone 903 589-3828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALICE D. THOMAS

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