45D2116459 CLIA NUMBER - GRANTS LAKE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2116459
  • Facility Name: GRANTS LAKE DIALYSIS
  • Facility Address: 16035 LEXINGTON BLVD
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 832 783-9090
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAMRATA GOEL
  • NPI Number: 1285213850
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2116459
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GRANTS LAKE DIALYSIS
Street 16035 LEXINGTON BLVD
City SUGAR LAND
State TX
ZIP 77479
Phone 832 783-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAMRATA GOEL

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