45D2020699 CLIA NUMBER - JENSEN DIALYSIS

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Laboratory Demographics

CLIA Number: 45D2020699

Facility Name: JENSEN DIALYSIS

Facility Address:
9716 JENSEN DRIVE
HOUSTON, TX
ZIP 77093
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Facility Phone Number: 713 692-4600

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1871897298

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2020699
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	JENSEN DIALYSIS
Street	9716 JENSEN DRIVE
City	HOUSTON
State	TX
ZIP	77093
Phone	713 692-4600
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024