03D1038510 CLIA NUMBER - DIALYSIS NEWCO, LLC DBA US RENAL CARE AVONDALE DIALYSIS

Laboratory Demographics

  • CLIA Code: 03D1038510
  • Facility Name: DIALYSIS NEWCO, LLC DBA US RENAL CARE AVONDALE DIALYSIS
  • Facility Address: 13055 W MCDOWELL RD, #101F
    AVONDALE, AZ
    ZIP 85323
  • Facility Phone: 623 935-5460
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VAMSI ROKKAM
  • NPI Number: 1144503699
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1038510
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS NEWCO, LLC DBA US RENAL CARE AVONDALE DIALYSIS
Street 13055 W MCDOWELL RD, #101F
City AVONDALE
State AZ
ZIP 85323
Phone 623 935-5460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VAMSI ROKKAM

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This page was last updated on: 6/4/2025