45D2076396 CLIA NUMBER - COMPLETE DIALYSIS,LLC

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Laboratory Demographics

CLIA Number: 45D2076396

Facility Name: COMPLETE DIALYSIS,LLC

Facility Address:
607 EAST 7TH STREET
ODESSA, TX
ZIP 79761
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Facility Phone Number: 432 332-1632

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1639597552

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2076396
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	COMPLETE DIALYSIS,LLC
Street	607 EAST 7TH STREET
City	ODESSA
State	TX
ZIP	79761
Phone	432 332-1632
CertificateType	4
CertificateEffectiveDate	4/17/2024
CertificateExpirationDate	4/16/2026
FacilityType	Waiver

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