45D1056843 CLIA NUMBER - UPPER VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1056843
  • Facility Name: UPPER VALLEY DIALYSIS
  • Facility Address: 7933 NORTH MESA ST SUITE H
    EL PASO, TX
    ZIP 79932
  • Facility Phone: 915 832-0555
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DIANE DEMICK MD
  • NPI Number: 1093727042
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1056843
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UPPER VALLEY DIALYSIS
Street 7933 NORTH MESA ST SUITE H
City EL PASO
State TX
ZIP 79932
Phone 915 832-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DIANE DEMICK MD

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