45D1026194 CLIA NUMBER - CUERO LAKEVIEW DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1026194
  • Facility Name: CUERO LAKEVIEW DIALYSIS
  • Facility Address: 1105 EAST BROADWAY STREET
    CUERO, TX
    ZIP 77954
  • Facility Phone: 361 275-8648
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YONG DU MD
  • NPI Number: 1124284500
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1026194
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CUERO LAKEVIEW DIALYSIS
Street 1105 EAST BROADWAY STREET
City CUERO
State TX
ZIP 77954
Phone 361 275-8648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YONG DU MD

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