45D2100303 CLIA NUMBER - VINTAGE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2100303
  • Facility Name: VINTAGE DIALYSIS
  • Facility Address: 20025 CHASEWOOD PARK DR
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 281 251-0966
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HELEN LEE
  • NPI Number: 1952783607
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2100303
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VINTAGE DIALYSIS
Street 20025 CHASEWOOD PARK DR
City HOUSTON
State TX
ZIP 77070
Phone 281 251-0966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HELEN LEE

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