45D2227908 CLIA NUMBER - SUNDANCE HOME DIALYSIS LLC

Laboratory Demographics

  • CLIA Code: 45D2227908
  • Facility Name: SUNDANCE HOME DIALYSIS LLC
  • Facility Address: 1809 PRECINCT LINE ROAD
    HURST, TX
    ZIP 76054
  • Facility Phone: 817 840-5191
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NISHANT JALANDHARA
  • NPI Number: 1083298095
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2227908
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SUNDANCE HOME DIALYSIS LLC
Street 1809 PRECINCT LINE ROAD
City HURST
State TX
ZIP 76054
Phone 817 840-5191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NISHANT JALANDHARA

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