45D2068658 CLIA NUMBER - COLLEGE PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2068658
  • Facility Name: COLLEGE PARK DIALYSIS
  • Facility Address: 17191 ST LUKES WAY, STE 100
    THE WOODLANDS, TX
    ZIP 77384
  • Facility Phone: 936 273-3350
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BARRY NEELAND
  • NPI Number: 1104228758
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2068658
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COLLEGE PARK DIALYSIS
Street 17191 ST LUKES WAY, STE 100
City THE WOODLANDS
State TX
ZIP 77384
Phone 936 273-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BARRY NEELAND

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