NAICS 621492: Kidney Dialysis Centers

National industry

SBA small business size standard: $47 million in average annual receipts

Code facts

Contract awards
39 In the last 12 months
Contract obligations
$1,345,139,892 In FY2025

NAICS codes and definitions come from the U.S. Census Bureau, size standards from the SBA and contract spending from SAM.gov/FPDS.

Contract obligations by fiscal year

Fiscal year Obligated
FY2027 To date $235,027
FY2026 $536,547,646
FY2025 $1,345,139,892
FY2024 $6,609,253
FY2023 $692,340,292

Top contractors by obligations

Rank Contractor Obligated, FY2026–FY2027 Share
1 Fresenius Medical Care Holdings Inc. $268,719,798
2 Davita Inc. $179,490,173
3 American Renal Associates LLC $32,121,352
4 US Renal Care Inc. $26,910,387
5 Dialysis Clinic, Inc. $16,869,230
6 Dialysis Newco, LLC $6,272,243
7 Correctional Dialysis Services LLC $3,135,040
8 Total Renal Care Inc. $855,044
9 University Kidney Center, LLC $395,842
10 RSA - Guam LLC $370,625

Top funding agencies by obligations

Rank Agency Obligated, FY2026–FY2027 Share
1 Department of Veterans Affairs $533,330,610
2 Department of Justice $3,037,938
3 Defense Health Agency Department of Defense $414,125

Contract obligations by state

Rank Place of performance Obligated, last 12 months Share
1 Massachusetts $265,115,432
2 Colorado $152,999,160
3 Texas $33,277,827
4 Tennessee $14,053,164
5 California $855,394
6 Florida $433,619
7 Iowa $325,749
8 Nevada $311,343
9 Guam $261,765
10 Puerto Rico $213,019
11 Missouri $202,702
12 Kansas $152,614
13 Oklahoma $106,753
Show all 13

Contract opportunities

Notice Posted Due
Q531--On-Site Inpatient Hemodialysis Services Sources Sought Notice Pre-Solicitation · Veterans Integrated Service Network 17 (VHA)
Q509--MO BOI Acute Bedside Dialysis Contract 5-Year IDIQ: 06/01/2026 - 05/31/2031 Award Notice · Veterans Integrated Service Network 20 (VHA) —
Q508--On-Site Inpatient Hemodialysis Services Pre-Solicitation · Veterans Integrated Service Network 17 (VHA)
Q999--DaVita (DV) National Dialysis Services Contract (NDSC) National Dialysis Services Contract (NDSC) Award Notice · Headquarters —
Q999--Fresenius (FRE) National Dialysis Services Contract (NDSC) National Dialysis Services Contract (NDSC) Award Notice · Headquarters —
Q999--US Renal Care (USRC) National Dialysis Services Contract (NDSC) National Dialysis Services Contract (NDSC) Award Notice · Headquarters —
Q999--American Renal Associates (ARA) National Dialysis Services Contract (NDSC) National Dialysis Services Contract (NDSC) Award Notice · Headquarters —
Q999--Dialysis Clinic Inc. (DCi) National Dialysis Services Contract (NDSC) National Dialysis Services Contract (NDSC) Award Notice · Headquarters —
Q509--BOI Acute Bedside Dialysis Contract 5-Year IDIQ: 06/01/2026 - 05/31/2031 Solicitation · Veterans Integrated Service Network 20 (VHA) · 36C26026Q0549
Q531--HCR - Dialysis Industry Day Special Notice · Veterans Integrated Service Network 19 (VHA)
Q509--BOI Acute Bedside Dialysis Contract 5-Year IDIQ: 06/01/2026 - 05/31/2031 Solicitation · Veterans Integrated Service Network 20 (VHA) · 36C26026Q0204
Q531--HEMODIALYSIS FOLLOW ON - Columbia Award Notice · Veterans Integrated Service Network 15 (VHA) · 36C25525Q0252 —
Q401--36C25526D0015 | 589A7 | HEMODIALYSIS, Wichita, KS MC Award Notice · Veterans Integrated Service Network 15 (VHA) —
National Dialysis Service Contract Bridge 2 Limited / Sole Source Justification · Headquarters —
Q401-- acute care hemodialysis services for asheville, NC VAMC FY26 base year plus 4 option years Award Notice · Veterans Integrated Service Network 6 (VHA) · 36C24626D0003 —
Acute Hemodialysis Treatments and Equipment Maintenance Award Notice · Air Force Test Center (AFMC) —
National Dialysis Service Bridge Contract 2. 0 Limited / Sole Source Justification · Headquarters —
Q401-- acute care hemodialysis services for asheville, NC VAMC FY26 base year plus 4 option years Solicitation · Veterans Integrated Service Network 6 (VHA) · 36C24626Q0001_1
Dialysis and Nephrology Services - FCC Butner Pre-Solicitation · BOP Field Acquisition Office
Q531--HEMODIALYSIS FOLLOW ON - Columbia Solicitation · Veterans Integrated Service Network 15 (VHA) · 36C25525Q0252
National Dialysis Services Contract (NDSC) Solicitation · Headquarters
Q999--National Dialysis Services Contract (NDSC) Pre-Solicitation · Headquarters —
Q401--HEMODIALYSIS, Wichita, KS Solicitation · Veterans Integrated Service Network 15 (VHA) · 36C25525Q0419_2
Q401--On-Site HEMODIALYSIS, WI Solicitation · Veterans Integrated Service Network 15 (VHA) · 36C25525Q0419
Q531--HEMODIALYSIS FOLLOW ON - Columbia Pre-Solicitation · Veterans Integrated Service Network 15 (VHA) · 36C25525Q0252
Q401--HEMODIALYSIS, Wichita, KS Pre-Solicitation · Veterans Integrated Service Network 15 (VHA) · 36C25525Q0419
Q401-- acute care hemodialysis services for asheville, NC VAMC FY26 base year plus 4 option years Pre-Solicitation · Veterans Integrated Service Network 6 (VHA) · 36C24626Q0001
Acute Dialysis Services and Dialysis Equipment Maintenance Pre-Solicitation · Air Force Test Center (AFMC)
6515--VACCHCS Inpatient Dialysis Base + 4 Award Notice · Veterans Integrated Service Network 21 (VHA) —
Q509--Acute Bedside Dialysis Contract 5-Year IDIQ: 06/01/2025 - 05/31/2030 Pre-Solicitation · Veterans Integrated Service Network 20 (VHA)
Inpatient Dialysis Services Solicitation · Veterans Integrated Service Network 21 (VHA) · 36C26125Q0155
Inpatient Dialysis Services Pre-Solicitation · Veterans Integrated Service Network 21 (VHA) · 36C26125Q0155 —
Q999--National Dialysis Services Contract (NDSC) Draft RFP Special Notice · Headquarters
JOFOC24-48 DEV Dialysis Services (Oct 2024-Dec 2024) Limited / Sole Source Justification · Federal Medical Center Devens (BOP) —
Q999--Inpatient Dialysis for the Oklahoma VA Medical Center Award Notice · Veterans Integrated Service Network 19 (VHA) —
National Dialysis Service Bridge Contracts J&A Limited / Sole Source Justification · Headquarters —
Q999--Modification to Increase the Ceiling Dialysis Services Special Notice · Veterans Integrated Service Network 21 (VHA)
Q401--On-Site HEMODIALYSIS, WI Pre-Solicitation · Veterans Integrated Service Network 15 (VHA) · 36C25525R0001
6515--On-site Per-Procedure Dialysis Services for VACCHCS Pre-Solicitation · Veterans Integrated Service Network 21 (VHA)
Q999--IDIQ 09/01/23 - 08/31/2028 On-Site Hemodialysis and Peritoneal Dialysis Services Award Notice · Veterans Integrated Service Network 21 (VHA) —
Dialysis Services Limited / Sole Source Justification · Federal Detention Center Honolulu (BOP) —
Q999--Inpatient Dialysis Services (Mather) Award Notice · Veterans Integrated Service Network 21 (VHA) —
6515--HEMODIALYSIS UNITS, Cinci Award Notice · Veterans Integrated Service Network 10 (VHA) —
Q999--Copy of Copy of Request for Information (RFI) for Nationwide Dialysis Services Follow-on Contract (NDSC) FY24 Pre-Solicitation · Headquarters
Q999--On-site In-patient Dialysis Solicitation · Veterans Integrated Service Network 19 (VHA) · 36C25924R0069
Q999--On-site In-patient Dialysis Pre-Solicitation · Veterans Integrated Service Network 19 (VHA) · 36C25924R0069 —
Q999--On-Site Inpatient Dialysis Services (Area: Mather/Sacramento) Solicitation · Veterans Integrated Service Network 21 (VHA) · 36C26124Q0296
Q999--On-Site Inpatient Dialysis Services (Area: Mather/Sacramento) Pre-Solicitation · Veterans Integrated Service Network 21 (VHA) · 36C26124Q0296
Q401--On-Site Acute Dialysis Nursing Service Award Notice · Veterans Integrated Service Network 23 (VHA) —
Q999--Request for Information (RFI) for Nationwide Dialysis Services Follow-On Contract (NDSC) FY24 Pre-Solicitation · Headquarters
Show 40 more

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Definition

This U.S. industry comprises establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services.

Illustrative examples

  • Dialysis centers and clinics
  • Hemodialysis centers and clinics
  • Kidney dialysis centers and clinics
  • Renal dialysis centers and clinics

Quick answers

What is NAICS 621492?

NAICS 621492 is Kidney Dialysis Centers, a national industry in NAICS 62, Health Care and Social Assistance.

What is the NAICS code for dialysis centers and clinics?

The NAICS code for dialysis centers and clinics is 621492, Kidney Dialysis Centers.

What is the NAICS code for hemodialysis centers and clinics?

The NAICS code for hemodialysis centers and clinics is 621492, Kidney Dialysis Centers.

What is the NAICS code for renal dialysis centers and clinics?

The NAICS code for renal dialysis centers and clinics is 621492, Kidney Dialysis Centers.

How much do federal agencies spend under NAICS 621492?

Federal contracts under NAICS 621492 obligated $1,345,139,892 in fiscal year 2025 and $2,580,872,110 in fiscal years 2023 through 2027.

Who are the largest contractors under NAICS 621492?

The contractors with the most obligated under NAICS 621492 in fiscal years 2026 and 2027 are Fresenius Medical Care Holdings Inc. ($268,719,798), Davita Inc. ($179,490,173) and American Renal Associates LLC ($32,121,352).

Which agencies buy the most under NAICS 621492?

The agencies that obligated the most under NAICS 621492 in fiscal years 2026 and 2027 are Department of Veterans Affairs ($533,330,610), Department of Justice ($3,037,938) and Defense Health Agency ($414,125).

Which PSC codes are used with NAICS 621492?

The PSC codes with the most obligated under NAICS 621492 in fiscal years 2026 and 2027 are Q999 Other Medical Services, Q201 Medical – Managed Healthcare and Q509 Family & Internal Medicine Services.

Where is the work under NAICS 621492 performed?

By place of performance, the states with the most contract obligations under NAICS 621492 over the last 12 months are Massachusetts ($265,115,432), Colorado ($152,999,160) and Texas ($33,277,827).

What is the latest contract opportunity under NAICS 621492?

The latest contract opportunity under NAICS 621492 is Q531--On-Site Inpatient Hemodialysis Services Sources Sought Notice, pre-solicitation from Veterans Integrated Service Network 17 (VHA), posted September 16, 2026.

On GovTribe

See everything under NAICS 621492

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