45D2128559 CLIA NUMBER - MEADOWS PLACE DIALYSIS-DSI LLC DBA US RENAL CARE MEADOWS PLACE DIALYSIS

Laboratory Demographics

CLIA Number: 45D2128559

Facility Name: MEADOWS PLACE DIALYSIS-DSI LLC DBA US RENAL CARE MEADOWS PLACE DIALYSIS

Facility Address:
4743 LEXINGTON BLVD
MISSOURI CITY, TX
ZIP 77459
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Facility Phone Number: 281 969-1022

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1366988131

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2128559
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	MEADOWS PLACE DIALYSIS-DSI LLC DBA US RENAL CARE MEADOWS PLACE DIALYSIS
Street	4743 LEXINGTON BLVD
City	MISSOURI CITY
State	TX
ZIP	77459
Phone	281 969-1022
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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