45D2038071 CLIA NUMBER - BAINBRIDGE DIALYSIS, LLC D/B/A CENTRAL FORT WORTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2038071
  • Facility Name: BAINBRIDGE DIALYSIS, LLC D/B/A CENTRAL FORT WORTH DIALYSIS
  • Facility Address: 1000 SAINT LOUIS AVE SUITE 101
    FORT WORTH, TX
    ZIP 76104
  • Facility Phone: 817 810-0379
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL ARAGON
  • NPI Number: 1699041152
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2038071
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAINBRIDGE DIALYSIS, LLC D/B/A CENTRAL FORT WORTH DIALYSIS
Street 1000 SAINT LOUIS AVE SUITE 101
City FORT WORTH
State TX
ZIP 76104
Phone 817 810-0379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL ARAGON

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