45D1060958 CLIA NUMBER - WHARTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1060958
  • Facility Name: WHARTON DIALYSIS
  • Facility Address: 103 WEST AHLDAG ST
    WHARTON, TX
    ZIP 77488
  • Facility Phone: 979 282-8484
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL H. OGBURN
  • NPI Number: 1316346463
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1060958
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WHARTON DIALYSIS
Street 103 WEST AHLDAG ST
City WHARTON
State TX
ZIP 77488
Phone 979 282-8484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL H. OGBURN

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