45D2036977 CLIA NUMBER - WYLIE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2036977
  • Facility Name: WYLIE DIALYSIS
  • Facility Address: 941 S WESTGATE WAY
    WYLIE, TX
    ZIP 75098
  • Facility Phone: 972 429-4315
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT BIEDERMANN
  • NPI Number: 1730466673
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2036977
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WYLIE DIALYSIS
Street 941 S WESTGATE WAY
City WYLIE
State TX
ZIP 75098
Phone 972 429-4315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SCOTT BIEDERMANN

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