45D2109162 CLIA NUMBER - VIVIFY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2109162
  • Facility Name: VIVIFY DIALYSIS
  • Facility Address: 800 N TEXAS
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 332-1974
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANAND REDDY
  • NPI Number: 1457721292
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2109162
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VIVIFY DIALYSIS
Street 800 N TEXAS
City ODESSA
State TX
ZIP 79761
Phone 432 332-1974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANAND REDDY

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