45D2161393 CLIA NUMBER - PROSPER DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2161393
  • Facility Name: PROSPER DIALYSIS
  • Facility Address: 241 N PRESTON RD
    PROSPER, TX
    ZIP 75078
  • Facility Phone: 972 347-9268
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MIRZA S. BAIG
  • NPI Number: 1477026615
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2161393
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PROSPER DIALYSIS
Street 241 N PRESTON RD
City PROSPER
State TX
ZIP 75078
Phone 972 347-9268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MIRZA S. BAIG

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