CLIA lab

CLIA 45D0942124: Fourth Street Dialysis

Longview, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 45D0942124 belongs to Fourth Street Dialysis in Longview, TX.

Certificate of Waiver, effective March 23, 2025, expires March 22, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 23, 2025
Certificate expiration
March 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 6, 1998
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
45D0942124
Lab name
Fourth Street Dialysis
Address
3101 B North Fourth Street, Longview, TX 75605
Phone
(903) 234-0112
Fax
(903) 234-1341

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Fourth Street Dialysis in Longview?

45D0942124, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fourth Street Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D0942124 expire?

The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.

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