45D2119177 CLIA NUMBER - DAIRY ASHFORD DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2119177
  • Facility Name: DAIRY ASHFORD DIALYSIS
  • Facility Address: 12606 WESTPARK DR
    HOUSTON, TX
    ZIP 77082
  • Facility Phone: 281 712-4854
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WASEEM PERACHA
  • NPI Number: 1154775534
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2119177
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DAIRY ASHFORD DIALYSIS
Street 12606 WESTPARK DR
City HOUSTON
State TX
ZIP 77082
Phone 281 712-4854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WASEEM PERACHA

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