45D1097362 CLIA NUMBER - LIBERTY DIALYSIS BRENHAM

Laboratory Demographics

  • CLIA Code: 45D1097362
  • Facility Name: LIBERTY DIALYSIS BRENHAM
  • Facility Address: 604 MEDICAL COURTS
    BRENHAM, TX
    ZIP 77833
  • Facility Phone: 979 353-4440
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KELLY HARRIS
  • NPI Number: 1407039688
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1097362
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS BRENHAM
Street 604 MEDICAL COURTS
City BRENHAM
State TX
ZIP 77833
Phone 979 353-4440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KELLY HARRIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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