45D1080496 CLIA NUMBER - ANGELO KIDNEY CONNECTION PLLC

Laboratory Demographics

  • CLIA Code: 45D1080496
  • Facility Name: ANGELO KIDNEY CONNECTION PLLC
  • Facility Address: 2901 SHERWOOD WAY SUITE 100
    SAN ANGELO, TX
    ZIP 76901
  • Facility Phone: 325 212-0312
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MELANIE L. ROBLEDO
  • NPI Number: 1952589665
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1080496
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANGELO KIDNEY CONNECTION PLLC
Street 2901 SHERWOOD WAY SUITE 100
City SAN ANGELO
State TX
ZIP 76901
Phone 325 212-0312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MELANIE L. ROBLEDO

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