42D0664256 CLIA NUMBER - DIALYSIS NEWCO, INC D/B/A US RENAL CARE GREENVILLE DIALYSIS

Laboratory Demographics

CLIA Number: 42D0664256

Facility Name: DIALYSIS NEWCO, INC D/B/A US RENAL CARE GREENVILLE DIALYSIS

Facility Address:
1004 GROVE ROAD
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 864 242-4320

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1114200607

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0664256
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS NEWCO, INC D/B/A US RENAL CARE GREENVILLE DIALYSIS
Street	1004 GROVE ROAD
City	GREENVILLE
State	SC
ZIP	29605
Phone	864 242-4320
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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