03D0641900 CLIA NUMBER - USRC SOUTHWEST MESA, LLC DBA US RENAL CARE SOUTHWEST MESA DIALYSIS

Laboratory Demographics

  • CLIA Code: 03D0641900
  • Facility Name: USRC SOUTHWEST MESA, LLC DBA US RENAL CARE SOUTHWEST MESA DIALYSIS
  • Facility Address: 1457 W SOUTHERN AVE, STE D-19
    MESA, AZ
    ZIP 85202
  • Facility Phone: 480 894-5411
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KANWARDEEP SACHDEVA
  • NPI Number: 1093098550
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0641900
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC SOUTHWEST MESA, LLC DBA US RENAL CARE SOUTHWEST MESA DIALYSIS
Street 1457 W SOUTHERN AVE, STE D-19
City MESA
State AZ
ZIP 85202
Phone 480 894-5411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KANWARDEEP SACHDEVA

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This page was last updated on: 9/29/2025