42D1043551 CLIA NUMBER - DCA OF EDGEFIELD, LLD DBA US RENAL CARE EDGEFIELD DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D1043551
  • Facility Name: DCA OF EDGEFIELD, LLD DBA US RENAL CARE EDGEFIELD DIALYSIS
  • Facility Address: 306 MAIN STREET
    EDGEFIELD, SC
    ZIP 29824
  • Facility Phone: 803 637-3225
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DOUGLAS STAHURA
  • NPI Number: 1013966480
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1043551
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DCA OF EDGEFIELD, LLD DBA US RENAL CARE EDGEFIELD DIALYSIS
Street 306 MAIN STREET
City EDGEFIELD
State SC
ZIP 29824
Phone 803 637-3225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DOUGLAS STAHURA

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