45D2145276 CLIA NUMBER - PFLUGERVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2145276
  • Facility Name: PFLUGERVILLE DIALYSIS
  • Facility Address: 2606 W PECAN ST BLDG 3
    PFLUGERVILLE, TX
    ZIP 78660
  • Facility Phone: 512 990-7785
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MALAVIKA VINTA
  • NPI Number: 1255842159
  • Taxonomy: 1223P0300X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 45D2145276
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PFLUGERVILLE DIALYSIS
Street 2606 W PECAN ST BLDG 3
City PFLUGERVILLE
State TX
ZIP 78660
Phone 512 990-7785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MALAVIKA VINTA

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