45D2016988 CLIA NUMBER - BRAZORIA COUNTY DIALYSIS, LLP

Laboratory Demographics

  • CLIA Code: 45D2016988
  • Facility Name: BRAZORIA COUNTY DIALYSIS, LLP
  • Facility Address: 405 THIS WAY STREET ATTN CLINIC MANAGER
    LAKE JACKSON, TX
    ZIP 77566
  • Facility Phone: 561 893-6899
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. FABIO AGLIECO
  • NPI Number: 1508168980
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2016988
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRAZORIA COUNTY DIALYSIS, LLP
Street 405 THIS WAY STREET ATTN CLINIC MANAGER
City LAKE JACKSON
State TX
ZIP 77566
Phone 561 893-6899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. FABIO AGLIECO

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