45D2167424 CLIA NUMBER - BRODIE LANE DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2167424
  • Facility Name: BRODIE LANE DIALYSIS
  • Facility Address: 9010 BRODIE LANE, BLDG A
    AUSTIN, TX
    ZIP 78748
  • Facility Phone: 512 280-6505
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLAS ROWDER
  • NPI Number: 1851818249
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D2167424
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRODIE LANE DIALYSIS
Street 9010 BRODIE LANE, BLDG A
City AUSTIN
State TX
ZIP 78748
Phone 512 280-6505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NICHOLAS ROWDER

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