CLIA lab
CLIA 45D2123422: Space City Dialysis Pasadena-Dsi LLC DBA
Pasadena, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2123422 belongs to Space City Dialysis Pasadena-Dsi LLC DBA in Pasadena, TX.
Certificate of Waiver, effective December 20, 2024, expires December 19, 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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 2016
- 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
- 45D2123422
- Lab name
- Space City Dialysis Pasadena-Dsi LLC DBA
- Additional name
- US Renal Care Space City Dialysis LLC
- Address
- 3402 Burke Road, Pasadena, TX 77504
- Phone
- (713) 425-0428
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- USRC Space City DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Space City Dialysis Pasadena-Dsi LLC DBA in Pasadena?
45D2123422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Space City Dialysis Pasadena-Dsi LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2123422 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.