45D2093457 CLIA NUMBER - PLANO TOLLWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2093457
  • Facility Name: PLANO TOLLWAY DIALYSIS
  • Facility Address: 6101 WINDHAVEN PKWY, SUITE 165
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 473-7891
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JESSIE GEORGE
  • NPI Number: 1396136222
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2093457
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PLANO TOLLWAY DIALYSIS
Street 6101 WINDHAVEN PKWY, SUITE 165
City PLANO
State TX
ZIP 75093
Phone 972 473-7891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JESSIE GEORGE

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