45D2086468 CLIA NUMBER - WEST HOUSTON HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2086468
  • Facility Name: WEST HOUSTON HOME DIALYSIS
  • Facility Address: 1319 WEST SAM HOUSTON PKWY N STE 130
    HOUSTON, TX
    ZIP 77043
  • Facility Phone: (713) 465-0005
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADIL R. ALI
  • NPI Number: 1619384633
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2086468
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST HOUSTON HOME DIALYSIS
Street 1319 WEST SAM HOUSTON PKWY N STE 130
City HOUSTON
State TX
ZIP 77043
Phone 7134650005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADIL R. ALI

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This page was last updated on: 5/15/2026