How to Find a Home Dialysis Center

In the U.S., all home dialysis is done through a dialysis center. The center will train you and a partner. It will also provide your machine and supplies. So, you don't have to buy a machine—you just have to find a center to support you.

Location, Location, Location

When you have to go to a center three times a week, having it close to your home can save you time. But after you finish training for a home treatment, you only need to go to the center once a month to meet with your care team. (You will also have to go in to get IV iron, if you need it.) This means a home center can be as far away as you are willing to drive once a month. Not all centers offer home treatments. About one in eight centers offer home hemodialysis (HD). And, about 45% of centers have peritoneal dialysis (PD). So, if a center has to be around the corner or in your town, you may not be able to get the treatment you want.

"Find a Center" Database

To help you get the treatment you want, Home Dialysis Central built a unique list of each center in the U.S. that does home training. You can see it at: homedialysis.org/clinics/. You can use this listing in one of two ways:

  1. Search by Location (click the image to enlarge) Find all the centers near you that offer a certain treatment. Choose your state from the drop-down menu. Choose your city and check the boxes for the option(s) you are looking for. Then, click SUBMIT. So, if you want PD in Galveston, Texas, fill out the form like this: If there are no centers—or your city is not listed—do your search by state only. Leave the city blank and see what comes up. The closest clinic may be in the next state, if you live close to a border.
  2. Search by Type (click the image to enlarge) Find all the centers in the U.S. that offer a certain option . Check only the box for the treatment you are looking for. So, to find out how many U.S. centers do daily home HD, check that box, and click "Search:"

Coverage Maps

We also created coverage maps for Home Dialysis Central. You may find these maps helpful if you live near a border. The maps can give you ideas for where to look. There are maps for PD, conventional home HD, daily home HD, extended (nocturnal) home HD, and all home HD. Each dot on the map stands for a 120-mile radius around a program site—about a 2-hour drive. Below are the maps (you can see them larger or download them, at: homedialysis.org/clinics/maps.)

PD coverage

CAPD-APD Map (click the image to enlarge)

Daily home HD coverage

Daily Home HD Map (click the image to enlarge)

In-center extended (nocturnal) coverage

In-Center Nocturnal Map (click the image to enlarge)

No Luck Yet? Don't Give Up!

As you can see from the maps, some parts of the U.S.— like the East coast—have home centers of all types. Others, like the West, do not. If you live in a spot with poor coverage, you may need to get creative: