45D2074056 CLIA NUMBER - KIDNEY CARE ASSOCIATES LLP

Laboratory Demographics

  • CLIA Code: 45D2074056
  • Facility Name: KIDNEY CARE ASSOCIATES LLP
  • Facility Address: 954 W VAN ALSTYNE PARKWAY
    VAN ALSTYNE, TX
    ZIP 75495
  • Facility Phone: 903 893-7170
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID G. REYNOLDS
  • NPI Number: 1265477152
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2074056
LAB Type Physician Office
Facility Name KIDNEY CARE ASSOCIATES LLP
Street 954 W VAN ALSTYNE PARKWAY
City VAN ALSTYNE
State TX
ZIP 75495
Phone 903 893-7170
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director DAVID G. REYNOLDS

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