45D2134527 CLIA NUMBER - SOUTHSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2134527
  • Facility Name: SOUTHSIDE DIALYSIS
  • Facility Address: 6018 PARKWAY DRIVE
    CORPUS CHRISTI, TX
    ZIP 78414
  • Facility Phone: 361 994-5262
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHAH F. ISLAM
  • NPI Number: 1003346792
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2134527
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHSIDE DIALYSIS
Street 6018 PARKWAY DRIVE
City CORPUS CHRISTI
State TX
ZIP 78414
Phone 361 994-5262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SHAH F. ISLAM

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