45D2086242 CLIA NUMBER - HULEN DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2086242
  • Facility Name: HULEN DIALYSIS
  • Facility Address: 5832 S HULEN STREET
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 370-7642
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JARADAT I. MAJD
  • NPI Number: 1659771624
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2086242
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HULEN DIALYSIS
Street 5832 S HULEN STREET
City FORT WORTH
State TX
ZIP 76132
Phone 817 370-7642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JARADAT I. MAJD

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