03D1052231 CLIA NUMBER - RENAL DIMENSIONS, LLC DBA RENAL CARE GROUP - SOUTHEAST VALLEY

Laboratory Demographics

  • CLIA Code: 03D1052231
  • Facility Name: RENAL DIMENSIONS, LLC DBA RENAL CARE GROUP - SOUTHEAST VALLEY
  • Facility Address: 22715 S ELLSWORTH RD, BLDG D
    QUEEN CREEK, AZ
    ZIP 85142
  • Facility Phone: 480 677-2463
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJESH KUMAR
  • NPI Number: 1003976010
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1052231
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL DIMENSIONS, LLC DBA RENAL CARE GROUP - SOUTHEAST VALLEY
Street 22715 S ELLSWORTH RD, BLDG D
City QUEEN CREEK
State AZ
ZIP 85142
Phone 480 677-2463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJESH KUMAR

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