45D1041710 CLIA NUMBER - RENAL CENTER OF NORTH DENTON

Laboratory Demographics

CLIA Number: 45D1041710

Facility Name: RENAL CENTER OF NORTH DENTON

Facility Address:
4309 MESA DRIVE
DENTON, TX
ZIP 76207
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Facility Phone Number: 940 566-2701

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1063457240

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1041710
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CENTER OF NORTH DENTON
Street	4309 MESA DRIVE
City	DENTON
State	TX
ZIP	76207
Phone	940 566-2701
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024