34D0669845 CLIA NUMBER - DIALYSIS NEWCO INC DBA US RENAL CARE LATROBE DIALYSIS

Laboratory Demographics

  • CLIA Code: 34D0669845
  • Facility Name: DIALYSIS NEWCO INC DBA US RENAL CARE LATROBE DIALYSIS
  • Facility Address: 3515 LATROBE DRIVE
    CHARLOTTE, NC
    ZIP 28211
  • Facility Phone: 704 366-5299
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PAUL S. BLAKE
  • NPI Number: 1023384542
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 34D0669845
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS NEWCO INC DBA US RENAL CARE LATROBE DIALYSIS
Street 3515 LATROBE DRIVE
City CHARLOTTE
State NC
ZIP 28211
Phone 704 366-5299
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 PAUL S. BLAKE

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