45D2079739 CLIA NUMBER - GREEN OAK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2079739
  • Facility Name: GREEN OAK DIALYSIS
  • Facility Address: 1426 KINGWOOD DRIVE
    KINGWOOD, TX
    ZIP 77339
  • Facility Phone: 281 312-1301
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NIZAR A. YOUNAS
  • NPI Number: 1205246584
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2079739
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREEN OAK DIALYSIS
Street 1426 KINGWOOD DRIVE
City KINGWOOD
State TX
ZIP 77339
Phone 281 312-1301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NIZAR A. YOUNAS

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