45D2048914 CLIA NUMBER - GRAND PRAIRIE DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 45D2048914
  • Facility Name: GRAND PRAIRIE DIALYSIS CENTER, LLC
  • Facility Address: 550 S CARRIER PARKWAY SUITE 450
    GRAND PRAIRIE, TX
    ZIP 75051
  • Facility Phone: 972 237-2400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BHASKER R. MEHTA
  • NPI Number: 1730455429
  • Taxonomy: 261QA0005X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2048914
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GRAND PRAIRIE DIALYSIS CENTER, LLC
Street 550 S CARRIER PARKWAY SUITE 450
City GRAND PRAIRIE
State TX
ZIP 75051
Phone 972 237-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BHASKER R. MEHTA

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