45D2148461 CLIA NUMBER - FRESENIUS KIDNEY CARE CEDAR HILL

Laboratory Demographics

  • CLIA Code: 45D2148461
  • Facility Name: FRESENIUS KIDNEY CARE CEDAR HILL
  • Facility Address: 120 WEST BELTLINE
    CEDAR HILL, TX
    ZIP 75104
  • Facility Phone: 972 293-8178
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARLOS E. PANCORVO
  • NPI Number: 1740782598
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2148461
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE CEDAR HILL
Street 120 WEST BELTLINE
City CEDAR HILL
State TX
ZIP 75104
Phone 972 293-8178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARLOS E. PANCORVO

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