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45D2277863 CLIA NUMBER - LASALLE COUNTY DIALYSIS

Laboratory Demographics

CLIA Number: 45D2277863

Facility Name: LASALLE COUNTY DIALYSIS

Facility Address:
627 N BAYLOR ST
COTULLA, TX
ZIP 78014
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Facility Phone Number: 830 483-5260

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1679782981

Taxonomy: 332U00000X - Home Delivered Meals
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

CLIA Record

Field Name Field Value
CLIA Number 45D2277863
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LASALLE COUNTY DIALYSIS
Street 627 N BAYLOR ST
City COTULLA
State TX
ZIP 78014
Phone 830 483-5260
CertificateType 4
CertificateEffectiveDate 3/7/2023
CertificateExpirationDate 3/6/2025
FacilityType Waiver

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