12D2180125 CLIA NUMBER - USRC EWA BEACH, LLC DBA US RENAL CARE EWA BEACH DIALYSIS

Laboratory Demographics

  • CLIA Code: 12D2180125
  • Facility Name: USRC EWA BEACH, LLC DBA US RENAL CARE EWA BEACH DIALYSIS
  • Facility Address: 91-919 FORT WEAVER ROAD, SUITE 110
    EWA BEACH, HI
    ZIP 96706
  • Facility Phone: 808 664-8370
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHINTAV H. SHAH
  • NPI Number: 1164059168
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 12D2180125
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC EWA BEACH, LLC DBA US RENAL CARE EWA BEACH DIALYSIS
Street 91-919 FORT WEAVER ROAD, SUITE 110
City EWA BEACH
State HI
ZIP 96706
Phone 808 664-8370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHINTAV H. SHAH

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