45D1063164 CLIA NUMBER - DEERBROOK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D1063164
  • Facility Name: DEERBROOK DIALYSIS
  • Facility Address: 9660 FM 1960 BYPASS
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 281 312-6362
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD FOLEY
  • NPI Number: 1356718563
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D1063164
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DEERBROOK DIALYSIS
Street 9660 FM 1960 BYPASS
City HUMBLE
State TX
ZIP 77338
Phone 281 312-6362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD FOLEY

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