Hemodialysis delivered to patients who cannot access fixed dialysis centers — rural health systems, FQHCs, and tribal nations operating field-based renal programs.
All Odulair dialysis units are engineered to AAMI RD62, AAMI RD52, and ASSE 1070 water-quality standards. FGI-compliant spatial layout included. Clinical commissioning documentation provided with delivery.
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A: A mobile dialysis van is a self-contained hemodialysis unit built on a Sprinter or larger chassis, designed to bring dialysis services directly to patients in remote or underserved areas.
A: Odulair builds 2-station mobile dialysis vans on Sprinter/Transit chassis for outreach. Larger 6-station configurations use a 53ft double-expandable trailer, which is FGI 2022 compliant.
A: Odulair mobile dialysis units are built to FGI 2022 guidelines and AAMI TIR26 water system standards, supporting CMS ESRD certification for regulated clinical settings.
A: Sprinter and Transit-based mobile dialysis vans do not require a CDL. Larger trailer configurations require a CDL.
A: Odulair mobile dialysis units include AAMI-compliant reverse osmosis water treatment systems with pre-treatment filtration, meeting dialysate purity standards.
End-stage renal disease (ESRD) is a permanent, life-altering condition in which the kidneys lose their ability to filter waste and excess fluid from the bloodstream. Without intervention, ESRD is fatal. The two primary treatment modalities are kidney transplantation — which remains in short supply — and dialysis, a mechanical process that assumes the kidney's filtration role for three to five sessions per week, each lasting three to four hours. More than 800,000 Americans are currently living with ESRD, and the Centers for Medicare and Medicaid Services (CMS) projects that number will continue to grow as rates of diabetes, hypertension, and chronic kidney disease (CKD) climb across the United States.
For the majority of ESRD patients, hemodialysis is administered at a fixed dialysis center — a facility they must travel to three times per week, every week, for the rest of their lives or until a transplant becomes available. This creates an enormous transportation burden. Studies published in the Clinical Journal of the American Society of Nephrology have documented that transportation failure is one of the leading causes of missed dialysis sessions, and missed sessions are directly correlated with higher rates of hospitalization, cardiovascular events, and mortality. In rural counties, tribal lands, and underserved urban corridors, the nearest fixed dialysis center can be 60 to 150 miles away — a round trip that many elderly and disabled patients cannot complete without specialized medical transportation assistance, which is itself in short supply.
A mobile dialysis unit resolves this access barrier by bringing the treatment to the patient population rather than requiring the patient population to travel to the treatment. A purpose-built mobile dialysis van is a clinically outfitted vehicle — constructed on a commercial chassis such as the Mercedes-Benz Sprinter, Ford Transit, or Ram ProMaster — that contains one to four hemodialysis stations, a reverse osmosis (RO) water purification system meeting AAMI quality standards, medical-grade HVAC and air handling, shore power and generator connectivity, and all supporting clinical infrastructure. The unit drives to a community location, connects to available utilities, and operates as a satellite dialysis clinic. For patients who cannot travel to a center, the center comes to them.
Over 800,000 Americans live with ESRD. An estimated 70% of dialysis patients report transportation as a significant barrier to consistent treatment access. Mobile dialysis delivery can reduce missed session rates by bringing CMS-compliant care directly to underserved, rural, and high-need communities — without patients facing multi-hour transit burdens three times per week.
Odulair mobile dialysis vans are engineered as complete clinical systems — not converted cargo vehicles or repurposed commercial vans. Every unit is built from the ground up to meet ESRD care requirements: AAMI-grade water purity, CMS ESRD Conditions for Coverage compatibility, state health department licensure support, and CROWNWeb documentation readiness. Whether deployed for a permanent rural outreach route, an emergency continuity-of-care program during facility renovation, or an expansion of a dialysis network into an underserved corridor, Odulair delivers a turn-key solution supported by a Woman-Owned Small Business (WOSB) manufacturer registered on SAM.gov with CAGE Code 6L2X9.
A standard hemodialysis session runs approximately three to four hours. Most mobile dialysis schedules run two to three sessions per treatment day. The table below illustrates approximate weekly patient capacity by station count. Actual throughput depends on clinical scheduling, session length, and patient volume at each deployment site.
| Dialysis Stations | Sessions per Day | Treatment Days / Week | Patients per Week | Patients per Month (est.) |
|---|---|---|---|---|
| 1 Station | 2 | 5 | 10 | ~40 |
| 2 Stations | 2 | 5 | 20 | ~80 |
| 3 Stations | 3 | 5 | 45 | ~180 |
Capacity estimates assume standard 3.5-hour sessions. Actual throughput is determined by your clinical scheduling protocol. Contact Odulair for a custom capacity analysis based on your patient population and service area.
Odulair offers mobile dialysis solutions across three vehicle platforms. Each platform is optimized for a different combination of patient volume, deployment environment, site access requirements, and operator licensing. The table below summarizes the key differentiators to help procurement teams and clinical administrators select the right platform for their program.
| Specification | Dialysis Van (Sprinter / Transit) |
18 ft Truck (Hino L7) |
53 ft Trailer (Semi or Expandable) |
|---|---|---|---|
| Dialysis Stations | 1–2 | 2–4 | 6–12 |
| Approximate Interior Sq. Ft. | 80–130 sq ft | 180–240 sq ft | 500–900 sq ft |
| CDL Required | No | No (derated to 26,000 lbs) | Yes — CDL Required |
| Primary Power Source | Shore power (200A) + Solana™ Solar + UPS | Shore power (200A) + generator option | Shore power (400A) + onboard diesel gen |
| Water System | Single-pass RO — AAMI purity | Single-pass RO — AAMI purity | High-volume RO loop — AAMI purity |
| Deployment Flexibility | Highest — parks in standard spaces | High — standard loading zones | Moderate — requires level staging area |
| Best For | Rural outreach, community pilot programs, renovation continuity (1–2 pts) | Hospital satellite, correctional, multi-stop routes | Large network expansion, disaster response, tribal health authority |
Every Odulair mobile dialysis unit is engineered to the same clinical standards applied in fixed dialysis facilities. The following specifications apply to the standard van platform. Truck and trailer configurations carry equivalent clinical systems scaled to station count.
Large dialysis network operators — including regional affiliates of national chains such as DaVita and Fresenius Medical Care — deploy mobile dialysis units to expand their service footprint into underserved ZIP codes without the capital cost and regulatory timeline of building a new fixed facility. Mobile units allow a network to pilot patient volume in a new market, assess demand, and establish referral relationships before committing to a permanent center. They also serve as a competitive differentiator for operators pursuing CMS Innovation Center contracts that reward access expansion into rural and shortage-designated areas. Odulair units are compatible with all major hemodialysis machine brands and configured for seamless integration into existing network scheduling, billing, and CROWNWeb reporting workflows.
When a hospital or health system undertakes a dialysis unit renovation, ESRD patients cannot simply pause treatment for six to eighteen months. A mobile dialysis unit deployed on the hospital campus or at a nearby satellite site provides fully compliant continuity of care throughout the construction period, ensuring zero disruption to the patient panel. Hospitals utilizing mobile units during renovation avoid the legal, regulatory, and reputational risk of transferring ESRD patients to competing facilities. Upon completion of the fixed facility renovation, the mobile unit can be redeployed to an outreach route, retained for disaster response readiness, or remarketed. Odulair works directly with hospital administration and facilities management to coordinate site planning, utility connections, and CMS notification requirements.
Federal and state correctional systems face a constitutionally mandated obligation to provide medically necessary care to incarcerated individuals, including life-sustaining dialysis. Transporting ESRD inmates to community dialysis centers three times per week creates significant security, staffing, and cost burdens. A mobile dialysis unit stationed on correctional facility grounds eliminates the transport requirement entirely, reducing custody officer overtime, vehicle fleet usage, and liability exposure. Odulair units designed for correctional deployment incorporate security-hardened cabinetry, controlled access configurations, and discreet exterior finishes. They operate under the facility's existing utility infrastructure and can be maintained and monitored by facility health services staff with Odulair training support. CAGE 6L2X9 registration supports federal procurement compliance.
Rural ESRD patients face some of the most acute access disparities in American healthcare. In states such as Wyoming, Montana, the Dakotas, and rural Appalachia, the distance between a patient's home and the nearest dialysis center can exceed 100 miles — an impossible burden for elderly patients without personal transportation and in states with limited Medicaid-funded medical transportation. Community health centers, Federally Qualified Health Centers (FQHCs), and rural health districts deploy Odulair mobile dialysis units on rotating community schedules, parking at existing clinic locations, community centers, or local hospitals. This model allows one unit to serve multiple towns on a predictable weekly schedule, dramatically reducing the transportation burden for patients while enabling the operating organization to bill for dialysis services under existing CMS provider agreements.
American Indian and Alaska Native populations experience rates of ESRD nearly four times the national average, driven by disproportionately high prevalence of Type 2 diabetes. Tribal health organizations — including Indian Health Service (IHS) facilities, 638 self-determination contractors, and tribally operated health authorities — are among the most active procurement entities for mobile dialysis solutions. Odulair has supported tribal health procurement processes across multiple nations, providing WOSB sourcing documentation, federal registration credentials (SAM.gov, CAGE 6L2X9, UEI LUAKV3T8KSV5), and Indian Health Service-compatible specifications. Mobile dialysis units can be funded through IHS appropriations, HRSA grants, or tribal enterprise capital, and Odulair's team provides letter-of-support documentation for grant applications upon request.
Odulair has delivered mobile medical units to health ministries, NGOs, and international development organizations across more than 60 countries. In low- and middle-income countries where fixed dialysis infrastructure is sparse or nonexistent, a mobile dialysis unit can serve as the sole source of life-sustaining renal care for an entire province. International configurations are engineered to accept local power standards (220V/50Hz or 110V/60Hz), use locally sourced consumables where available, and include comprehensive staff training programs for in-country clinical personnel. Odulair works with international procurement teams to ensure compatibility with WHO procurement frameworks and USAID and World Bank sourcing requirements. Export documentation, container-ready shipping preparation, and installation supervision at the destination site are all available as part of the Odulair international delivery package.
Operating a mobile dialysis unit requires navigating a layered regulatory environment. Odulair builds each unit to meet or exceed the applicable federal and state requirements and provides buyers with the documentation packages needed to support licensure, CMS certification, and ongoing compliance. Below is a summary of the primary regulatory frameworks applicable to mobile dialysis programs in the United States.
The Centers for Medicare and Medicaid Services (CMS) ESRD Conditions for Coverage, codified at 42 CFR Part 494, establish the federal quality and safety standards that all dialysis facilities — including mobile units — must meet to participate in the Medicare and Medicaid programs. These conditions cover patient assessment and care planning, water quality and machine safety, personnel qualifications, infection control, patient rights, and facility governance. Odulair units are engineered and documented to support a buyer's application for CMS certification as an ESRD facility or as a satellite unit of an existing certified facility. Buyers receive a comprehensive facility specification package suitable for submission with CMS Form 855A (Medicare Enrollment Application for Institutional Providers).
The Facility Guidelines Institute (FGI) 2022 Guidelines provide the design and construction standards adopted by most state health departments for outpatient dialysis facility licensure. Key requirements include minimum station spacing (minimum 48 inches center-to-center between adjacent stations), handwashing sink placement within the treatment area, separation of clean and soiled supply storage, and HVAC standards for infection control. Odulair incorporates FGI 2022 requirements into every mobile dialysis unit design, including ADA-compliant pathway clearances, medical gas and suction rough-in provisions where required, and compliant fixture placement. State-specific design documentation is prepared as part of the pre-delivery package for buyers requiring state department of health plan review and approval.
CROWNWeb (Consolidated Renal Operations in a Web-Enabled Network) is the CMS data reporting system used by all ESRD facilities to submit patient treatment records, quality metrics, and facility data required for Medicare participation. Mobile dialysis units operating under a CMS-certified provider number are subject to the same CROWNWeb reporting obligations as fixed facilities. Odulair units include LAN infrastructure (Ethernet and Wi-Fi), cellular data connectivity options, and the electrical and physical mount infrastructure for ESRD electronic medical record (EMR) terminals at each station. Odulair does not supply EMR software but supports integration with all major ESRD-specific EMR platforms used by dialysis network operators and independent facilities.
In addition to federal CMS certification, mobile dialysis programs must obtain state-level licensure from the applicable state department of health or equivalent agency. Licensure requirements vary significantly by state: some states have specific mobile dialysis or satellite facility categories, while others license mobile units under general outpatient dialysis or ambulatory care facility categories. Odulair's delivery documentation package includes as-built drawings, equipment specifications, water system validation records, and HVAC certifications in formats accepted by state plan review agencies. Odulair's clinical engineering team has supported licensure submissions in multiple states and is available to consult with buyers and their regulatory counsel during the state approval process.
Mobile dialysis units are configured to the buyer's clinical program, station count, chassis selection, water system capacity, power configuration, and regulatory documentation requirements. Because each unit is purpose-built rather than off-the-shelf, pricing depends on specification. Contact Odulair for Pricing. Odulair provides itemized proposals that include the chassis, clinical build-out, water treatment system, electrical infrastructure, HVAC, documentation package, and delivery. Financing, operating lease, and federal procurement vehicle options are also available for qualifying organizations.
Yes, provided the mobile unit operates under a CMS-certified ESRD facility provider number. Under the ESRD Prospective Payment System (PPS), Medicare pays a per-treatment bundled rate for hemodialysis services regardless of whether treatment is delivered in a fixed center or a CMS-approved satellite unit. The mobile unit must be enrolled as a satellite or subunit of the parent certified facility. Medicaid coverage for mobile dialysis services varies by state. Organizations should work with a healthcare attorney and CMS provider enrollment specialist to structure the billing entity correctly before initiating patient care. Odulair provides the facility documentation required for CMS enrollment but does not provide legal or billing advisory services.
Yes. Odulair units are available with a generator package that provides fully self-contained power independent of shore connection. The Solana™ Solar + Battery system additionally offloads non-critical loads (HVAC, lighting, monitoring) onto solar and battery storage, reducing generator fuel consumption during extended off-grid operations. Units are also available with dual-source water supply: municipal connection as the primary source and an on-board holding tank supplied by an external water delivery service when municipal hookup is unavailable. For truly remote deployments, Odulair engineers the complete off-grid utility stack — power, water, and wastewater — as an integrated system. Contact Odulair to discuss your deployment site conditions and off-grid requirements.
Odulair mobile dialysis units are machine-agnostic and compatible with all major hemodialysis machine brands, including Fresenius Medical Care (2008K, 2008T), Nipro Surdial, NxStage (home HD configurations), and Baxter Tablo. Station electrical circuits, water delivery points, drain connections, and chair positioning are designed to accommodate the dimensional and utility specifications of each platform. Buyers who have existing service agreements or equipment standardization with a specific machine manufacturer can specify that platform at time of order, and Odulair will configure the station infrastructure accordingly. Buyers who do not have a machine preference can receive guidance from Odulair's clinical engineering team based on station count, treatment modality, and budget requirements.
Odulair mobile dialysis units are designed for rapid deployment. Once the unit is on-site and connected to utilities, the setup process — including water system flush and quality verification, machine check, and station readiness inspection — typically takes two to four hours. Water quality testing to confirm AAMI purity standards must be completed before the first patient treatment at any new site; results are typically available within 30 to 60 minutes using on-board testing equipment. A pre-deployment site survey is conducted by Odulair's delivery team to confirm utility availability, access clearances, and levelness before the unit arrives. The complete process from arrival to first patient is achievable within a single operational day for a prepared site.
Every Odulair mobile dialysis unit delivery includes a structured on-site training program conducted by Odulair's clinical engineering and operations team. Training covers: vehicle systems operation (power, HVAC, utilities), water treatment system operation and quality testing procedures, daily startup and shutdown protocols, routine and preventive maintenance procedures, emergency procedures (power failure, water system alarm, machine fault), and documentation requirements. Training materials — including laminated quick-reference cards, system operation manuals, and maintenance logs — are provided in the unit. Odulair also offers virtual training refresh sessions for new staff members added to the program after initial delivery. International buyers receive training programs adapted for local clinical team backgrounds and local language preferences where possible.
State licensure requirements for mobile dialysis units vary significantly. Most states require a separate facility license for each dialysis treatment location, including mobile or satellite units. Some states have created specific mobile dialysis facility license categories; others process mobile units under existing ambulatory dialysis or outpatient renal care categories. The licensure process typically requires submission of facility plans and specifications, water treatment system documentation, equipment lists, personnel qualifications, and policies and procedures. Odulair provides all facility-side documentation required for state plan review. Buyers are strongly advised to engage a healthcare regulatory attorney with experience in their state's health facility licensing process early in the procurement timeline, as state review timelines can range from 30 days to more than six months.
Odulair provides a comprehensive warranty covering the clinical build-out, water treatment system, electrical infrastructure, HVAC systems, and all Odulair-fabricated components. Warranty terms are specified in the purchase agreement and are discussed in detail during the proposal process. The chassis and drivetrain carry the manufacturer's warranty (typically three years or 36,000 miles for Sprinter and Transit chassis). Dialysis machines are covered under the machine manufacturer's warranty if purchased through Odulair or through a separate machine vendor agreement. Extended service contracts, preventive maintenance programs, and remote monitoring packages are available for buyers seeking long-term clinical continuity support. Contact Odulair for Pricing on extended service and maintenance programs.
CMS certification for an ESRD facility (or satellite unit) requires completion of CMS Form 855A, a state survey conducted by the applicable State Survey Agency (SSA) or CMS-contracted accreditation organization, and demonstration of compliance with all applicable ESRD Conditions for Coverage (42 CFR Part 494). For a mobile unit operating as a satellite of an existing certified facility, the parent facility submits the enrollment application and the state survey covers both the parent and satellite locations. For a new independent mobile dialysis provider, the full certification process applies. Odulair provides the as-built facility documentation, water quality validation records, equipment specifications, and infection control policy templates needed to support the survey process. Buyers must engage a healthcare attorney and CMS enrollment specialist for the enrollment and survey coordination process.
A fixed dialysis center offers higher patient throughput, more stations, and purpose-built permanent infrastructure — but requires a multi-million-dollar capital investment, a long construction and regulatory timeline (typically 18 to 36 months from site selection to first patient), and a permanent physical footprint at a single location. A mobile dialysis unit offers lower capital entry cost, deployment in 50 days from order, geographic flexibility across multiple sites, and the ability to redirect the asset as programmatic needs evolve. Mobile units are not a replacement for fixed centers at scale — a large urban dialysis market still requires a fixed center — but they are the only viable solution for rural access, temporary continuity of care, correctional facility deployment, and markets where patient volume does not yet justify a permanent facility. Many health systems deploy both: fixed centers for the established patient base, mobile units for outreach and continuity.
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Odulair LLC · Joelton, Tennessee USA · Dr. Anita Chambers PhD, CEO & Founder · Deployed in 60+ Countries