11D0666998 CLIA NUMBER - USRC DALTON, LLC DBA US RENAL CARE DALTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D0666998
  • Facility Name: USRC DALTON, LLC DBA US RENAL CARE DALTON DIALYSIS
  • Facility Address: 1009 PROFESSIONAL BLVD
    DALTON, GA
    ZIP 30720
  • Facility Phone: 706 278-1070
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAFAEL DUCHESNE
  • NPI Number: 1538461884
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0666998
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC DALTON, LLC DBA US RENAL CARE DALTON DIALYSIS
Street 1009 PROFESSIONAL BLVD
City DALTON
State GA
ZIP 30720
Phone 706 278-1070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAFAEL DUCHESNE

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