45D2105707 CLIA NUMBER - SOUTHFIELD DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2105707
  • Facility Name: SOUTHFIELD DIALYSIS
  • Facility Address: 11600 BROADWAY ST
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 713 436-0263
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOEY BUQUING
  • NPI Number: 1932584398
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2105707
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHFIELD DIALYSIS
Street 11600 BROADWAY ST
City PEARLAND
State TX
ZIP 77584
Phone 713 436-0263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOEY BUQUING

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