End Stage Renal Disease Facilities

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The Texas End Stage Renal Disease Facility Licensing Act was first enacted in 1995 by the 74th Legislature. HHSC develops rules that establish minimum standards for ESRD licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for requirements concerning design, construction.

Find or Verify a Licensee


The staff of the Health Facility Licensing Unit is responsible for licensing ESRDs. The Architectural Review Unit is responsible for conducting plan reviews and construction inspections of new and existing ESRDs.

Contact information for the zone offices is available by finding your zone (PDF) and then locating the contact info for zone offices. The list also contains phone numbers, fax numbers and email addresses.

The following documents, fees, and actions shall be completed and approved before a license will be issued:

Initial Application

  • Complete Form 3204, End Stage Renal Disease Facility License Application

Renewal Application

Complete Form 3205, End Stage Renal Disease Facility License Renewal Addendum

Change of Ownership Application

Complete Form 3204, End Stage Renal Disease Facility License Application

Relocation Application

Complete Form 3204, End Stage Renal Disease Facility License Application

Supporting Forms and Documents

Survey Components

During the initial licensing period, department zone office staff will conduct an on-site survey to ascertain compliance with the provisions of the Health and Safety Code and associated rules listed below. An entrance conference will be held with key facility personnel. Zone office staff will explain the survey process and answer questions. During the survey, zone office staff will:

  • Review clinical records
  • Review facility policies and procedure
  • Review quality assurance activities
  • Review personnel records
  • Interview staff
  • Conduct an exit conference with key facility personnel
  • Discuss survey findings

Provider Certification

Medicare certification information may be obtained from the zone office for your location (PDF). The Social Security Act directs the Secretary of the Department of Health and Human Services to use the help of State health agencies or other appropriate agencies to determine if health care entities meet Federal standards. This task is one of the Department of State Health Services' responsibilities. For information on gaining provider certification, please contact zone office staff.

CLIA Information

Visit the CLIA information website. For more information, please contact the zone office (PDF) for your location.

Laws and Rules

Texas Laws

Rules & Regulations

Enforcement Actions

End Stage Renal Disease Facilities Enforcement Actions (PDF)

Contact Information

The Health Facility Licensing Unit is dedicated to assist you through this process and is available to answer your questions. If you have any questions, please contact the Health Facility Licensing Unit.

Phone: 512-438-5448
Fax: 512-834-4514
Email: ESRD_Licensing@hhs.texas.gov

Mailing Address for Applications with Fees:
HHSC AR Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055

Enforcement Unit

Toll-Free: 888-973-0022
Phone: 512-834-6634
Fax: 512-834-6623
Email: enforcement@hhsc.state.tx.us

Mailing Address:
Texas Health and Human Services
Regulatory Services Division, Enforcement Unit
P.O. Box 149347
Austin, Texas 78714-9347