How to Become a Dialysis Technician in Texas

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For many people, dialysis technicians and their craft are a lifeline when their bodies struggle with renal problems.

As a dialysis technician, you work with nephrologists and nurses to administer hemodialysis treatment to patients with kidney problems and look after the equipment in line with the Texas Health and Safety Code.

Texas is home to over 53000 dialysis patients.

This is a high-demand environment for dialysis technicians in large cities and smaller towns.

The state is the sole member of Network 14 of the End-Stage Renal Disease National Coordination Center (ESRD-NCC), a nationwide effort launched in 1973 to make hemodialysis treatment more accessible to patients via Medicare.

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How to Become a Dialysis Technician in Texas, Step-by-Step

The state Health and Safety Code requires a certification course at an accredited education institution and a training program at your first workplace.

Unless you have four years of experience working directly with nephrology patients, all pathways to becoming a dialysis technician in Texas require having either finished high school or a General Education Diploma (GED).

Complete a Dialysis Technician Course

Many educational institutions in Texas offer high-quality training for dialysis technicians.

Most of these programs are at least one year long, though shorter ones are available.

Some associate’s degrees in nursing are also accepted but take longer to complete.

Work as a Dialysis Technician

To become a certified dialysis technician, you must work as one.

All major certification agencies for hemodialysis technicians require you to have work experience before taking the exam.

During this period, you will work under the supervision of a nurse, doctor, or an accredited dialysis technician.

Take a National Dialysis Technician Exam

As part of federal ESRD Rules & Regulations, hemodialysis technicians must earn a valid certification within 18 months of beginning work under this role.

This timer does not reset if you change workplaces and carry across state lines, so if you move to Texas to work as a dialysis technician and have performed this role in another state, that time counts towards the limit to obtain one of the certificates below.

Certified Clinical Hemodialysis Technician (CCHT)

The most common exam is the Certified Clinical Hemodialysis Technician (CCHT), administered by the Nephrology Nursing Certification Commission (NNCC).

Besides a high school diploma or GED, you need a training program for hemodialysis technicians and have training and work experience at a healthcare facility offering nephrology care within the last 18 months.

The NNCC suggests this previous work experience in the field be either six months long or 1000 hours.

The exam fee for the CCHT is $225, with a certificate valid for 3 years and renewable for $100 if the holder worked at least 3000 hours as a dialysis technician during this period.

This recertification option is also valid if you have the equivalent of 30 or more hours in any education program relevant to dialysis patients.

Certified Hemodialysis Technologist/Technician (CHT)

The Board of Nephrology Examiners, Nursing and Technology (BONENT) offers the Certified Hemodialysis Technologist/Technician (CHT) exam.

The requirements are the same as those for CCHT, with the difference being that BONENT can waive the patient care experience should you complete a BONENT Approved Program in the 24 months before you take the exam.

The CHT costs between $225 and $250, and applications missing any required information or documents incur a $65 penalty.

To keep your CHT certificate current, you pay BONENT an Annual Certification fee of $60 (or $210 should you pay four years in bulk).

CHT holders must recertify every four years, no longer than 30 days from the expiration date of the original certificate.

There are no fees to renew the certification if you have worked 40 hours as a dialysis technician anywhere during the last four years and stick to the deadlines.

Certified in Clinical Nephrology Technology (CCNT) & Certified in Biomedical Nephrology Technology (CBNT)

The National Nephrology Certification Organization (NNCO) has two examinations for dialysis technicians, one focused on clinical and the other on biomedical applications.

Both qualifications are accepted by the National Association of Nephrology Technicians/Technologists (NANT) for practicing purposes.

To take the CCNT, you must have completed a one-year training program as a dialysis technician or have a shorter course with relevant work experience.

The CBNT does not have experience waivers for training.

The CBNT test covers more areas, favoring those who want the door open to biomedical work as a dialysis technician.

Mind your deadlines: the NNCO only holds two examination dates each year!

Take the Texas Department of Health Services Exam

The Texas Department of Health Services also holds an exam.

Only after obtaining at least 80% on this exam can you begin practicing as a dialysis technician without a supervisor present.

Dialysis Technician Schools in Texas

The range of options for dialysis technician courses in Texas is wide but here are some of the most recommended programs on offer:

University of Texas at El Paso & University of HoustonUniversity of Texas at El Paso & University of Houston

Length: 1 Year

Cost: $3595

Format: Online

This dialysis technician program sets you up for entry-level positions in the field where you can receive the on-site training required for full certification, though it does not meet the requirements for all states.

The program includes a lab kit for practical exercises and offers clinical experience upon completion to help you meet the base requirements.

Texarkana CollegeTexarkana College

Length: 6 Months

Cost: $1299

Format: Online

Texarkana College and Health Ed Today offer this short program that covers most aspects of dialysis machines required to become a professional.

Lab work is part of the curriculum, but clinical experience is not always available, making this course more suited for those with some previous experience with nephrology patients.

University of Houston DowntownUniversity of Houston Downtown

Length: 1 Year

Cost: $1199

Format: Online

The UHD dialysis technician course offers good value for a year-long course.

Despite having less lab work, the course meets the certification requirements to get your first job experience as a dialysis technician before taking a national exam.

Tyler Junior CollegeTyler Junior College

Length: 1 Year

Cost: $999

Format: Online

Although less prestigious than previous options, the Tyler Junior College online dialysis technician certification program is balanced.

The course includes lab work and prepares you for national certification exams, though it is lacking in clinical experience.

Global Health Education NetworkGlobal Health Education Network

Length: 10 Weeks

Cost: $3925

Format: Online

The Global Health Education Network dialysis technician training program is the most expensive on the list, but it is the shortest option.

Like the Texarkana College offering, this is ideal if you already have some job experience in the field that can waive course length requirements since it allows you to jump into the job market much faster than other alternatives.

Top 5 Schools in Texas

School NameAddress
University of Texas at El Paso & University of Houston4302 University Drive Room 203. Houston, United States
Texarkana College2500 N Robison Rd, Texarkana, TX 75599, United States
University of Houston Downtown1 Main St, Houston, TX 77002, United States
Tyler Junior College1400 E 5th St, Tyler, TX 75701, United States
Global Health Education Network1311 Marketplace Dr ste 180, Garland, TX 75041, United States

Dialysis Technician Salary in Texas

Based on data from Intuit, the average base salary of a dialysis technician in Texas is $38,500 per year, in line with the national average.

Other websites show higher results between $44,200 and $47,472.

In many areas of Texas, a slightly lower salary is offset by much more affordable living costs than in the largest cities.

Annual Salary Range:

Average Salary of Dialysis Technicians in Texas

City NameSalary
San Antonio$36,165
El Paso$32,800
Fort Worth$36,540
Corpus Christi$35,197
* Salary information last updated 2024

Regional Salary in Texas

RegionEmployedAvg. Annual SalaryAvg. Hourly PayTop 10% Annual SalaryBottom 10% Annual Salary
Abilene, TX150$49,050$23.58$65,040$31,860
Amarillo, TX190$58,310$28.03$93,600$34,130
Austin-Round Rock, TX2,020$56,900$27.36$81,610$35,890
Beaumont-Port Arthur, TX180$52,770$25.37$78,520$28,920
Brownsville-Harlingen, TX210$45,450$21.85$63,840$23,850
College Station-Bryan, TX530$45,030$21.65$69,090$27,670
Corpus Christi, TX330$52,030$25.02$74,510$30,520
Dallas-Fort Worth-Arlington, TX7,430$57,240$27.52$83,470$35,410
El Paso, TX670$46,700$22.45$67,500$28,490
Houston-The Woodlands-Sugar Land, TX6,250$56,440$27.13$82,560$35,380
Killeen-Temple, TX420$55,930$26.89$75,300$35,950
Laredo, TX80$47,090$22.64$71,020$23,340
Longview, TX130$51,870$24.94$78,240$29,740
Lubbock, TX370$54,080$26$83,250$29,110
McAllen-Edinburg-Mission, TX480$45,380$21.82$68,420$28,100
Midland, TX90$52,840$25.41$76,650$31,840
Odessa, TX80$63,140$30.36$81,660$34,110
San Antonio-New Braunfels, TX2,340$54,270$26.09$78,230$33,920
Sherman-Denison, TX80$54,540$26.22$79,140$33,690
Texarkana, TX-AR100$45,340$21.8$69,970$25,980
Tyler, TX290$51,070$24.55$76,080$29,000
Victoria, TX100$53,040$25.5$75,410$29,280
Waco, TX200$55,110$26.5$78,330$34,150
Wichita Falls, TX100$48,310$23.23$72,950$30,630
* Salary information based on the May 2022 Occupational Employment Statistics (OES) Survey for Clinical Laboratory Technologists and Technicians, OCC Code 29-2010, BLS.
* Employment conditions in your area may vary.

Frequently Asked Questions

Can you become a dialysis technician in Texas without a high school diploma or GED?

Yes, but only if you have four years of experience working with dialysis patients.

How many tests are required to become a dialysis technician in Texas?

There are three rounds of certification.

In addition to completing a course and taking a national certification exam, Texas also requires a state examination.

Are dialysis technicians in demand in Texas?


Texas hosts over 53,000 dialysis patients, and the demand for qualified technicians has averaged an annual growth of around 15% in recent years.

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