45D1046420 CLIA NUMBER - WILLOWBROOK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1046420
  • Facility Name: WILLOWBROOK DIALYSIS
  • Facility Address: 12120 JONES ROAD SUITE G
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 877 362-0697
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANIL U. SHETH
  • NPI Number: 1265463640
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1046420
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILLOWBROOK DIALYSIS
Street 12120 JONES ROAD SUITE G
City HOUSTON
State TX
ZIP 77070
Phone 877 362-0697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANIL U. SHETH

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