CLIA lab
CLIA 45D2076568: Pine Park Dialysis
Pasadena, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2076568 belongs to Pine Park Dialysis in Pasadena, TX.
Certificate of Waiver, effective April 22, 2026, expires April 21, 2028.
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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2014
- 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
- 45D2076568
- Lab name
- Pine Park Dialysis
- Address
- 3333 Bayshore Blvd, Pasadena, TX 77504
- Phone
- (713) 943-1171
- Fax
- (713) 943-1481
Annual test volume the lab reported
- Waived tests
- 11,232
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Pine Park DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pine Park Dialysis in Pasadena?
45D2076568, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Park Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2076568 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.