03D0969348 CLIA NUMBER - DIALYSIS NEWCO, LLC DBA US RENAL CARE SOUTH PHOENIX DIALYSIS

Laboratory Demographics

  • CLIA Code: 03D0969348
  • Facility Name: DIALYSIS NEWCO, LLC DBA US RENAL CARE SOUTH PHOENIX DIALYSIS
  • Facility Address: 4621 S CENTRAL AVE
    PHOENIX, AZ
    ZIP 85040
  • Facility Phone: 602 304-1977
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VALENTIN ZAHARIA
  • NPI Number: 1588947048
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0969348
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS NEWCO, LLC DBA US RENAL CARE SOUTH PHOENIX DIALYSIS
Street 4621 S CENTRAL AVE
City PHOENIX
State AZ
ZIP 85040
Phone 602 304-1977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VALENTIN ZAHARIA

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