45D2085578 CLIA NUMBER - KELLER DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2085578
  • Facility Name: KELLER DIALYSIS
  • Facility Address: 11000 N RIVERSIDE DR
    FORT WORTH, TX
    ZIP 76244
  • Facility Phone: 817 337-5483
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID R. MARTIN
  • NPI Number: 1235538299
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2085578
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KELLER DIALYSIS
Street 11000 N RIVERSIDE DR
City FORT WORTH
State TX
ZIP 76244
Phone 817 337-5483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID R. MARTIN

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