45D2078875 CLIA NUMBER - REGIONAL DIALYSIS CENTER OF LANCASTER, LLC

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Laboratory Demographics

CLIA Number: 45D2078875

Facility Name: REGIONAL DIALYSIS CENTER OF LANCASTER, LLC

Facility Address:
2500 WEST PLEASANT RUN ROAD, #100
LANCASTER, TX
ZIP 75146
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Facility Phone Number: 972 274-0192

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1548671522

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2078875
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	REGIONAL DIALYSIS CENTER OF LANCASTER, LLC
Street	2500 WEST PLEASANT RUN ROAD, #100
City	LANCASTER
State	TX
ZIP	75146
Phone	972 274-0192
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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