45D2082984 CLIA NUMBER - LDHV LLC DBA LIBERTY DIALYSIS-HUNTSVILLE

Laboratory Demographics

  • CLIA Code: 45D2082984
  • Facility Name: LDHV LLC DBA LIBERTY DIALYSIS-HUNTSVILLE
  • Facility Address: 540 INTERSTATE 45 SOUTH, SUITE A
    HUNTSVILLE, TX
    ZIP 77340
  • Facility Phone: 936 295-3180
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVE S. KHURANA
  • NPI Number: 1609290329
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2082984
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LDHV LLC DBA LIBERTY DIALYSIS-HUNTSVILLE
Street 540 INTERSTATE 45 SOUTH, SUITE A
City HUNTSVILLE
State TX
ZIP 77340
Phone 936 295-3180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVE S. KHURANA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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