45D2102997 CLIA NUMBER - PRESTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2102997
  • Facility Name: PRESTON DIALYSIS
  • Facility Address: 13340 PRESTON ROAD
    DALLAS, TX
    ZIP 75240
  • Facility Phone: 214 414-3710
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHANI SHASTRI
  • NPI Number: 1053797704
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2102997
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PRESTON DIALYSIS
Street 13340 PRESTON ROAD
City DALLAS
State TX
ZIP 75240
Phone 214 414-3710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHANI SHASTRI

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