45D2277863 CLIA NUMBER - LASALLE COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 45D2277863
  • Facility Name: LASALLE COUNTY DIALYSIS
  • Facility Address: 627 N BAYLOR ST
    COTULLA, TX
    ZIP 78014
  • Facility Phone: 830 483-5260
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GRACE SNYDER
  • NPI Number: 1679782981
  • Taxonomy: 332U00000X - Home Delivered Meals

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GRACE SNYDER

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