45D2150598 CLIA NUMBER - LOWER GREENVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2150598
  • Facility Name: LOWER GREENVILLE DIALYSIS
  • Facility Address: 4405 ROSS AVE
    DALLAS, TX
    ZIP 75204
  • Facility Phone: 972 624-7302
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANA M. AHMED
  • NPI Number: 1255835286
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2150598
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LOWER GREENVILLE DIALYSIS
Street 4405 ROSS AVE
City DALLAS
State TX
ZIP 75204
Phone 972 624-7302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANA M. AHMED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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