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SOUTHEASTERN RENAL DIALYSIS L.C.
NPI 1659337541
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in West Burlington, IA

Active since April 21, 2006CLIA 16D0993560 · Waiver
3/5
Overall Rating
1213 S GEAR AVE, WEST BURLINGTON, IA 52655(319) 758-0691(319) 758-0392 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Renal Dialysis L.c. NPPES

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

SOUTHEASTERN RENAL DIALYSIS L.C. (NPI 1659337541) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in West Burlington, Iowa and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Mary Liechty, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659337541
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTHEASTERN RENAL DIALYSIS L.C.
Location Address1213 S GEAR AVEWest Burlington, IA 52655-1679
Mailing Address507 S White StMt Pleasant, IA 52641-2625
Phone(319) 758-0691
Fax(319) 758-0392
Organization SubpartYes
Authorized OfficialMary LiechtyAdministrator · (319) 385-6728
Enumeration DateApril 21, 2006
Last NPPES UpdateMarch 16, 2012
✔ NPI 1659337541 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
1213 S GEAR AVE, West Burlington, IA 52655
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification162512IA
Medicaid0625103IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 16D0993560

Southeastern Renal Dialysis · West Burlington, IA
Active · expires Mar 26, 2028
CLIA Number16D0993560
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorKimberly M. Dewalt
Laboratory Phone(319) 758-0691
Laboratory LocationSoutheastern Renal Dialysis1213 South Gear Avenue, West Burlington, IA 52655
CLIA data matches this NPI record on: Address 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 Southeastern Renal Dialysis, LC - W Burlington (CMS certification number 162512), from CMS Care Compare.

Southeastern Renal Dialysis, LC - W Burlington

Dialysis facility · West Burlington, IA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number162512
ESRD NetworkNetwork 12
Hemodialysis Stations12
Medicare-Certified SinceSeptember 30, 1997
Location1213 S. GearWest Burlington, IA 52655 · Des Moines County
Phone(319) 758-0691
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Southeastern Renal Dialysis L.C.'s NPI number?

The NPI number for Southeastern Renal Dialysis L.C. is 1659337541. It was assigned to this organization in the NPPES registry on April 21, 2006.

Where is Southeastern Renal Dialysis L.C. located?

Southeastern Renal Dialysis L.C. is located at 1213 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 758-0691.

What is Southeastern Renal Dialysis L.C.'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 Southeastern Renal Dialysis L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0993560) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Southeastern Renal Dialysis L.C. a Medicare-certified dialysis facility?

Yes. Southeastern Renal Dialysis, LC - W Burlington is a Medicare-certified dialysis facility, certified since September 30, 1997.

What quality rating does Southeastern Renal Dialysis L.C. have?

CMS rates Southeastern Renal Dialysis, LC - W Burlington 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Southeastern Renal Dialysis L.C. accept?

Health plans from UnitedHealthcare list Southeastern Renal Dialysis L.C. 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 Southeastern Renal Dialysis L.C. was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.