CLIA lab
CLIA 45D1091736: Port Lavaca Dialysis
Port Lavaca, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D1091736 belongs to Port Lavaca Dialysis in Port Lavaca, TX.
Certificate of Waiver, effective November 7, 2024, expires November 6, 2026.
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
- November 7, 2024
- Certificate expiration
- November 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 2008
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 45D1091736
- Lab name
- Port Lavaca Dialysis
- Address
- 1300 N Virginia Street Suite 102, Port Lavaca, TX 77979
- Phone
- (361) 552-3800
- Fax
- (361) 552-8703
Annual test volume the lab reported
- Waived tests
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Port Lavaca DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Port Lavaca, TX
- 102 Burnet StreetCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities45D2198091
- Calhoun County EMSCertificate of Waiver, Other45D0934357
- Calhoun County JailCertificate of Waiver, Other45D2091085
- Calhoun Home Health, LLCCertificate of Waiver, Home health agency45D2020549
- Heb Pharmacy #434Certificate of Waiver, Pharmacy45D1072752
- Ineos NitrilesCertificate of Waiver, Other45D2154331
- Lavaca Bay Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility45D2179810
- Memorial Medical CenterCertificate of Compliance, Hospital45D0054055
- Memorial Medical ClinicCertificate of Waiver, Physician office45D2054209
- Memorial Medical Clinic Hospital CampusCertificate of Waiver, Rural health clinic45D2172411
Related
Questions
What is the CLIA number for Port Lavaca Dialysis in Port Lavaca?
45D1091736, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Port Lavaca Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D1091736 expire?
The CMS file lists November 6, 2026 as the certificate expiration date; the certificate took effect November 7, 2024.