45D2121184 CLIA NUMBER - AVIAN DIALYSIS

Laboratory Demographics

CLIA Number: 45D2121184

Facility Name: AVIAN DIALYSIS

Facility Address:
8486 BELLAIRE BLVD
HOUSTON, TX
ZIP 77036
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Facility Phone Number: 713 774-0253

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1144678467

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2121184
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	AVIAN DIALYSIS
Street	8486 BELLAIRE BLVD
City	HOUSTON
State	TX
ZIP	77036
Phone	713 774-0253
CertificateType	4
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024