45D2074056 CLIA NUMBER - KIDNEY CARE ASSOCIATES LLP

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Laboratory Demographics

CLIA Number: 45D2074056

Facility Name: KIDNEY CARE ASSOCIATES LLP

Facility Address:
954 W VAN ALSTYNE PARKWAY
VAN ALSTYNE, TX
ZIP 75495
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Facility Phone Number: 903 893-7170

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1265477152

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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
CertificateType	3
CertificateEffectiveDate	2/29/2024
CertificateExpirationDate	2/27/2026
FacilityType	PPMP

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