45D2099449 CLIA NUMBER - TANNER DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2099449
  • Facility Name: TANNER DIALYSIS
  • Facility Address: 5655 W SAM HOUSTON PKWY N SUITE A
    HOUSTON, TX
    ZIP 77041
  • Facility Phone: 713 983-8616
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHALIN PATEL
  • NPI Number: 1336526300
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2099449
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TANNER DIALYSIS
Street 5655 W SAM HOUSTON PKWY N SUITE A
City HOUSTON
State TX
ZIP 77041
Phone 713 983-8616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHALIN PATEL

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