DIALYSIS CLINIC INC.
NPI 1205869690
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Acoma, NM

Active since July 08, 2006CLIA 32D0969559 · Waiver
4/5
Overall Rating
80A VETERANS BLVD, ACOMA, NM 87034(505) 552-7292(505) 552-7275 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Jul 11, 2019, Feb 18, 2019 (3 updates tracked since 2019).

About Dialysis Clinic Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIALYSIS CLINIC INC. (NPI 1205869690) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Acoma, New Mexico and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1205869690
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSIS CLINIC INC.
Location Address80A VETERANS BLVDAcoma, NM 87034
Mailing AddressPo Box 189San Fidel, NM 87049-0189 · (505) 552-7292 · Fax (505) 552-7275
Fax(505) 552-7275
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateJuly 8, 2006
Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1205869690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in NM · 3054
80A VETERANS BLVD, Acoma, NM 87034

Other Identifiers 2

Medicaid45997CA
MedicaidG8529NM

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0969559

Dialysis Clinic Inc · Pueblo Of Acoma, NM
Active · expires Jan 18, 2028
CLIA Number32D0969559
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorShan Shan Chen
Laboratory Phone(505) 552-7292
Laboratory LocationDialysis Clinic Inc80 A Veterans Blvd, Pueblo Of Acoma, NM 87034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for 322524 Acl Dialysis (dci) (CMS certification number 322524), from CMS Care Compare.

322524 Acl Dialysis (dci)

Dialysis facility · San Fidel, NM
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainDialysis Clinic, Inc.
CMS Certification Number322524
ESRD NetworkNetwork 15
Hemodialysis Stations24
Medicare-Certified SinceMay 29, 2001
LocationI-40 EXIT 102San Fidel, NM 87049 · Cibola County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
80A VETERANS BLVD
ACOMA, NM 87034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dialysis Clinic Inc.'s NPI number?

The NPI number for Dialysis Clinic Inc. is 1205869690. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Dialysis Clinic Inc. located?

Dialysis Clinic Inc. is located at 80A Veterans Blvd, Acoma, NM 87034. The listed phone number is (505) 552-7292.

What is Dialysis Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Dialysis Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0969559) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dialysis Clinic Inc. a Medicare-certified dialysis facility?

Yes. 322524 Acl Dialysis (dci) is a Medicare-certified dialysis facility, certified since May 29, 2001.

What quality rating does Dialysis Clinic Inc. have?

CMS rates 322524 Acl Dialysis (dci) 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Dialysis Clinic Inc. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Dialysis Clinic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dialysis Clinic Inc. was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.