TEXARKANA REGIONAL DIALYSIS CENTER
NPI 1992787956
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Texarkana, TX

Q: What is Collom & Carney Clinic Association's NPI number?

The NPI number for Collom & Carney Clinic Association is 1992787956. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Texarkana Regional Dialysis Center.

Q: What is Collom & Carney Clinic Association's specialty?

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

Active since November 16, 2005CLIA 45D0967742 · Waiver

4800 TEXAS BLVD, TEXARKANA, TX 75503(903) 614-3600(903) 792-0951 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Texarkana Regional Dialysis Center NPPES

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

TEXARKANA REGIONAL DIALYSIS CENTER (NPI 1992787956) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Texarkana, Texas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Pat Roberts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992787956

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameCOLLOM & CARNEY CLINIC ASSOCIATION

Location Address4800 TEXAS BLVDTexarkana, TX 75503-3033

Mailing Address4800 Texas BlvdTexarkana, TX 75503-3033 · (903) 614-3600 · Fax (903) 792-0951

Phone(903) 614-3600

Fax(903) 792-0951

Organization SubpartNo

Authorized OfficialPat RobertsAdministrator · (903) 614-3601

Enumeration DateNovember 16, 2005

Last NPPES UpdateMarch 23, 2010

✔ NPI 1992787956 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 TX · 000190

4800 TEXAS BLVD, Texarkana, TX 75503

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Other Names 1

Doing Business AsTexarkana Regional Dialysis Center

Other Identifiers 4

Medicare OSCAR/certification452552

Medicaid087806801TX

Medicaid100702210BOK

Medicaid107721134AR

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 45D0967742

Texarkana Regional Dialysis · Texarkana, TX

Active · expires Nov 21, 2027

CLIA Number45D0967742

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateNovember 22, 2025

Certificate Expiration DateNovember 21, 2027

Laboratory DirectorHayden Hemphill

Laboratory Phone(903) 614-3600

Laboratory LocationTexarkana Regional Dialysis5502 Medical Parkway Drive, Texarkana, TX 75503

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Collom & Carney Clinic Association's NPI number?

The NPI number for Collom & Carney Clinic Association is 1992787956. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Texarkana Regional Dialysis Center.

Where is Collom & Carney Clinic Association located?

Collom & Carney Clinic Association is located at 4800 Texas Blvd, Texarkana, TX 75503. The listed phone number is (903) 614-3600.

What is Collom & Carney Clinic Association'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 Collom & Carney Clinic Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0967742) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collom & Carney Clinic Association was last updated on March 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.