45D2181306 CLIA NUMBER - LITTLE YORK DIALYSIS CENTER LLC

Laboratory Demographics

CLIA Number: 45D2181306

Facility Name: LITTLE YORK DIALYSIS CENTER LLC

Facility Address:
2711 LITTLE YORK ROAD SUITE 201
HOUSTON, TX
ZIP 77093
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Facility Phone Number: 713 464-0236

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1194358069

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2181306
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	LITTLE YORK DIALYSIS CENTER LLC
Street	2711 LITTLE YORK ROAD SUITE 201
City	HOUSTON
State	TX
ZIP	77093
Phone	713 464-0236
CertificateType	4
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024