45D2071184 CLIA NUMBER - ACE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2071184
  • Facility Name: ACE DIALYSIS
  • Facility Address: 14512 LEE RD
    HUMBLE, TX
    ZIP 77396
  • Facility Phone: 281 441-5016
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SREEDHAR MANDAYAM
  • NPI Number: 1073942124
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2071184
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ACE DIALYSIS
Street 14512 LEE RD
City HUMBLE
State TX
ZIP 77396
Phone 281 441-5016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SREEDHAR MANDAYAM

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