42D0995403 CLIA NUMBER - DIALYSIS NEWCO, INC D/B/A US RENAL CARE POWDERHORN DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D0995403
  • Facility Name: DIALYSIS NEWCO, INC D/B/A US RENAL CARE POWDERHORN DIALYSIS
  • Facility Address: 16 POWDERHORN ROAD
    SIMPSONVILLE, SC
    ZIP 29681
  • Facility Phone: 864 962-2222
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM B. WARD
  • NPI Number: 1831472331
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0995403
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS NEWCO, INC D/B/A US RENAL CARE POWDERHORN DIALYSIS
Street 16 POWDERHORN ROAD
City SIMPSONVILLE
State SC
ZIP 29681
Phone 864 962-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. WILLIAM B. WARD

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