45D2149563 CLIA NUMBER - DECATUR HOME DIALYSIS, LLC DBA AMERICN KIDNEY CARE RENVIVA OF EAST DALLAS

Laboratory Demographics

  • CLIA Code: 45D2149563
  • Facility Name: DECATUR HOME DIALYSIS, LLC DBA AMERICN KIDNEY CARE RENVIVA OF EAST DALLAS
  • Facility Address: 2301 S FM 51 STE 600
    DECATUR, TX
    ZIP 76234
  • Facility Phone: 513 673-5245
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SYED M. ALI
  • NPI Number: 1053945766
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 45D2149563
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DECATUR HOME DIALYSIS, LLC DBA AMERICN KIDNEY CARE RENVIVA OF EAST DALLAS
Street 2301 S FM 51 STE 600
City DECATUR
State TX
ZIP 76234
Phone 513 673-5245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SYED M. ALI

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