45D2311313 CLIA NUMBER - FRESENIUS KIDNEY CARE VINTAGE PARK

Laboratory Demographics

  • CLIA Code: 45D2311313
  • Facility Name: FRESENIUS KIDNEY CARE VINTAGE PARK
  • Facility Address: 102 VINTAGE PARK BLVD, SUITE A BUILDING L
    HOUSTON, TX
    ZIP 77070
  • Facility Phone: 832 604-8700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHUJAUDDIN BHURIWALA
  • NPI Number: 1730908344
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2311313
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE VINTAGE PARK
Street 102 VINTAGE PARK BLVD, SUITE A BUILDING L
City HOUSTON
State TX
ZIP 77070
Phone 832 604-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHUJAUDDIN BHURIWALA

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