45D2106153 CLIA NUMBER - BAYMONT DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2106153
  • Facility Name: BAYMONT DIALYSIS
  • Facility Address: 10424 INTERSTATE 10 E, STE 100
    BAYTOWN, TX
    ZIP 77523
  • Facility Phone: 281 576-5091
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TAHIR HAFEEZ
  • NPI Number: 1477927283
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2106153
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BAYMONT DIALYSIS
Street 10424 INTERSTATE 10 E, STE 100
City BAYTOWN
State TX
ZIP 77523
Phone 281 576-5091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TAHIR HAFEEZ

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