45D2054400 CLIA NUMBER - CROSSTIMBERS DIALYSIS

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Laboratory Demographics

CLIA Number: 45D2054400

Facility Name: CROSSTIMBERS DIALYSIS

Facility Address:
4400 NORTH FWY, STE 100
HOUSTON, TX
ZIP 77022
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Facility Phone Number: 713 694-8241

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1215273719

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2054400
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	CROSSTIMBERS DIALYSIS
Street	4400 NORTH FWY, STE 100
City	HOUSTON
State	TX
ZIP	77022
Phone	713 694-8241
CertificateType	4
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	Waiver

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