04D1038327 CLIA NUMBER - PINE BLUFF - U S RENAL CARE PINE BLUFF DIALYSIS, INC

Laboratory Demographics

  • CLIA Code: 04D1038327
  • Facility Name: PINE BLUFF - U S RENAL CARE PINE BLUFF DIALYSIS, INC
  • Facility Address: 2800 WEST 28TH STREET
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 534-7400
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. AHMER KASHIF
  • NPI Number: 1073590923
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D1038327
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PINE BLUFF - U S RENAL CARE PINE BLUFF DIALYSIS, INC
Street 2800 WEST 28TH STREET
City PINE BLUFF
State AR
ZIP 71603
Phone 870 534-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. AHMER KASHIF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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