45D2181781 CLIA NUMBER - ANGELO KIDNEY CONNECTION HOME THERAPIES, PLLC

Laboratory Demographics

  • CLIA Code: 45D2181781
  • Facility Name: ANGELO KIDNEY CONNECTION HOME THERAPIES, PLLC
  • Facility Address: 3626 50TH STREET
    LUBBOCK, TX
    ZIP 79413
  • Facility Phone: 325 450-4445
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MELANIE L. BAUMGARTNER
  • NPI Number: 1598310179
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2181781
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANGELO KIDNEY CONNECTION HOME THERAPIES, PLLC
Street 3626 50TH STREET
City LUBBOCK
State TX
ZIP 79413
Phone 325 450-4445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MELANIE L. BAUMGARTNER

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This page was last updated on: 6/4/2025