11D2085777 CLIA NUMBER - USRC WINDER, LLC U S RENAL CARE WINDER DIALYSIS

Laboratory Demographics

  • CLIA Code: 11D2085777
  • Facility Name: USRC WINDER, LLC U S RENAL CARE WINDER DIALYSIS
  • Facility Address: 429 LOGANVILLE HIGHWAY, SUITE 105
    WINDER, GA
    ZIP 30680
  • Facility Phone: 678 425-9568
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OMAR MUSHFIQ
  • NPI Number: 1518361989
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2085777
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC WINDER, LLC U S RENAL CARE WINDER DIALYSIS
Street 429 LOGANVILLE HIGHWAY, SUITE 105
City WINDER
State GA
ZIP 30680
Phone 678 425-9568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OMAR MUSHFIQ

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