45D2026169 CLIA NUMBER - RENAL CENTER OF PLANO

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Laboratory Demographics

CLIA Number: 45D2026169

Facility Name: RENAL CENTER OF PLANO

Facility Address:
4112 W SPRING CREEK PKWY SUITE D200
PLANO, TX
ZIP 75024
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Facility Phone Number: 972 608-7831

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1831483270

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2026169
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RENAL CENTER OF PLANO
Street	4112 W SPRING CREEK PKWY SUITE D200
City	PLANO
State	TX
ZIP	75024
Phone	972 608-7831
CertificateType	4
CertificateEffectiveDate	6/24/2023
CertificateExpirationDate	6/23/2025
FacilityType	Waiver

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