45D2163849 CLIA NUMBER - FALLBROOK DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2163849
  • Facility Name: FALLBROOK DIALYSIS
  • Facility Address: 11321 FALLBROOK DR
    HOUSTON, TX
    ZIP 77065
  • Facility Phone: 281 890-5468
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADIL R. ALI
  • NPI Number: 1558366997
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2163849
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FALLBROOK DIALYSIS
Street 11321 FALLBROOK DR
City HOUSTON
State TX
ZIP 77065
Phone 281 890-5468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADIL R. ALI

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