45D2087707 CLIA NUMBER - FORT BROWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2087707
  • Facility Name: FORT BROWN DIALYSIS
  • Facility Address: 2000 BOCA CHICA BLVD
    BROWNSVILLE, TX
    ZIP 78521
  • Facility Phone: 956 544-1158
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD HINOJOSA
  • NPI Number: 1285037168
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2087707
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FORT BROWN DIALYSIS
Street 2000 BOCA CHICA BLVD
City BROWNSVILLE
State TX
ZIP 78521
Phone 956 544-1158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD HINOJOSA

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