45D2028019 CLIA NUMBER - WEST POINT DIALYSIS

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Laboratory Demographics

CLIA Number: 45D2028019

Facility Name: WEST POINT DIALYSIS

Facility Address:
12051 WESTPARK DR, STE 100
HOUSTON, TX
ZIP 77082
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Facility Phone Number: 281 920-4262

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1083908800

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2028019
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WEST POINT DIALYSIS
Street	12051 WESTPARK DR, STE 100
City	HOUSTON
State	TX
ZIP	77082
Phone	281 920-4262
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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