07D2072831 CLIA NUMBER - DSI BRANFORD, LLC U S RENAL CARE BRANFORD DIALYSIS

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Laboratory Demographics

CLIA Number: 07D2072831

Facility Name: DSI BRANFORD, LLC U S RENAL CARE BRANFORD DIALYSIS

Facility Address:
322 E MAIN ST, STE 1A
BRANFORD, CT
ZIP 06405
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Facility Phone Number: 302 242-3518

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1316373376

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D2072831
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DSI BRANFORD, LLC U S RENAL CARE BRANFORD DIALYSIS
Street	322 E MAIN ST, STE 1A
City	BRANFORD
State	CT
ZIP	06405
Phone	302 242-3518
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024